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Tennessee 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
$57.03 / $107.74 / $311.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.54 / $53.61 / $61.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.49 / $36.10 / $36.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $72.19 / $115.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.17 / $141.96 / $183.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $41.94 / $109.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.52 / $342.90 / $342.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $43.31 / $72.19