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Tennessee 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
$100.00 / $398.11 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,023.29 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $346.74 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19