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Minnesota 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
$67.61 / $194.98 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $269.15 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $141.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $524.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $114.82 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $43.65 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $72.44 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $72.44 / $158.49