go back

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
$58.46 / $72.19 / $322.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $58.47 / $72.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.86 / $106.12 / $500.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $28.88 / $61.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.59 / $76.86 / $153.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $76.86 / $103.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $72.19 / $87.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $72.19 / $322.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.47 / $72.19 / $75.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $43.31 / $104.68