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Missouri 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
$62.81 / $97.05 / $574.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $52.57 / $70.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $75.80 / $333.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.88 / $49.81 / $149.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.95 / $135.88 / $172.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.45 / $68.72 / $103.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $113.34 / $342.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $43.31 / $81.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $43.31 / $86.63