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Maine 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 / $117.49 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $457.09 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $43.65 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $77.62 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $77.62 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $87.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.44 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $112.20