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Nebraska 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
$47.65 / $72.19 / $345.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $47.65 / $464.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.43 / $294.13 / $573.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $109.73 / $118.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.92 / $103.77 / $164.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.31 / $90.54 / $342.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $43.31 / $144.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.70 / $132.37 / $284.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.70 / $132.37 / $188.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $43.31 / $144.38