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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
$40.29 / $90.96 / $136.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $90.96 / $90.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $108.29 / $108.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.92 / $93.05 / $135.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $83.01 / $103.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $43.31 / $72.19