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Louisiana 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
$76.52 / $104.17 / $379.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $61.36 / $93.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $136.69 / $222.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.34 / $79.41 / $93.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $71.65 / $72.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.67 / $138.56 / $509.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.21 / $38.26 / $103.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $36.10 / $108.29