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Idaho 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
$128.82 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $67.61 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $144.54 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $151.36 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $69.18 / $104.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $147.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $75.86 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $144.54 / $257.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $87.10