go back

Oklahoma 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
$54.14 / $72.19 / $173.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.54 / $52.18 / $57.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $43.31 / $43.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.23 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.58 / $68.58 / $68.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $46.92 / $93.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.14 / $63.59 / $103.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.57 / $52.57 / $342.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $72.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $43.31