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South Carolina 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
$56.31 / $255.61 / $648.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.18 / $52.57 / $57.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.44 / $444.44 / $474.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $73.00 / $101.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.19 / $209.26 / $411.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $42.23 / $164.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.53 / $64.97 / $75.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $72.19 / $72.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $43.31 / $86.63