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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
$397.69 / $698.47 / $1,620.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.55 / $397.69 / $427.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $377.55 / $805.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.75 / $999.41 / $1,439.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $613.72 / $767.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.92 / $2,391.15 / $2,391.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $503.40