go back

Florida 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 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $60.26 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $61.66 / $123.03
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $43.65 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $72.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $72.44