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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
$130.29 / $130.29 / $187.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.53 / $140.77 / $140.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.38 / $76.48 / $281.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.42 / $83.01 / $103.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.86 / $140.77 / $201.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $72.19 / $86.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.29 / $155.21 / $259.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $123.97 / $127.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $86.63