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Arizona 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
$65.78 / $106.41 / $288.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $52.18 / $464.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $46.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $158.56 / $264.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.81 / $60.82 / $86.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.45 / $117.30 / $211.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.27 / $83.01 / $109.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $342.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $57.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $46.42