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Massachusetts 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
$72.44 / $199.53 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $52.48 / $199.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $83.18 / $346.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $91.20 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $56.23 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $87.10 / $109.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $123.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $165.96
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $120.23 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $83.18 / $346.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $151.36
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $70.79 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $72.44 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $56.23 / $154.88