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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
$354.81 / $1,230.27 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,288.25 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $457.09 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $549.54