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Washington, DC 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
$54.14 / $146.41 / $441.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $54.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $64.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $121.99 / $261.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.58 / $83.01 / $103.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.74 / $146.74 / $146.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $32.49 / $65.69