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Pennsylvania 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

Facilitymedian $182 · 10th–90th $62$3470%10%10th90th$182Professionalmedian $58 · 10th–90th $47$1410%50%10th90th$58$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $186.21 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $44.67
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $91.20 / $1,071.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $112.20 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $77.62 / $125.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $104.71
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $67.61 / $125.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $363.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $58.88
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $79.43 / $181.97
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $107.15 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $57.54 / $89.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $72.44 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $107.15