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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
$75.86 / $100.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $57.54 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $138.04 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $85.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $138.04 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $36.31 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $64.57 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $79.43