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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
$67.86 / $67.86 / $264.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.54 / $52.57 / $67.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $91.32 / $149.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $72.19 / $72.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.06 / $262.77 / $632.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.84 / $105.43 / $138.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.62 / $240.24 / $497.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $83.01 / $131.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $133.55 / $342.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $45.99 / $153.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $72.19 / $153.74