go back

Oregon rates for HCPCS 0166U

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utilizing serum, algorithm reported as scores for fibrosis, necroinflammatory activity, and steatosis with a summary interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $2,238.72 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,096.48 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $691.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $524.81 / $691.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $1,995.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $602.56