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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
$53.70 / $147.91 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $123.03 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $83.18 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $91.20