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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$372.52 / $372.52 / $372.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.61 / $592.90 / $619.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.13 / $463.13 / $463.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,488.73 / $1,488.73 / $1,488.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $722.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.08 / $604.08 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.19 / $503.40 / $726.05