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Utah 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
$453.06 / $2,374.03 / $3,112.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.99 / $397.69 / $533.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.28 / $442.54 / $1,387.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $722.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $45.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $578.91 / $604.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.33 / $393.79 / $428.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $302.04