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Michigan 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
$69.18 / $93.33 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $81.28 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $53.70 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $83.18 / $104.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $87.10 / $151.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $97.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $72.44 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $45.71