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Arkansas rates for HCPCS 81596

Infectious disease, chronic hepatitis C virus (HCV) infection, six biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, and haptoglobin) utilizing serum, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $91.20 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $107.15 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $107.15 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $64.57 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $72.44