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South Carolina 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
$352.38 / $352.38 / $2,387.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.96 / $437.96 / $437.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $528.57 / $688.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.88 / $1,459.36 / $2,870.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $722.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.55 / $432.92 / $667.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $503.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.06 / $453.06 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $604.08