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Rhode Island 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
$232.27 / $232.27 / $415.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $52.57 / $53.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.19 / $85.03 / $92.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $88.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.60 / $191.60 / $191.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $83.01 / $103.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $43.31 / $104.12