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Vermont 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
Professional
Modifier
Low / Median / High Price
$89.52 / $89.52 / $89.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $72.19 / $72.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $83.01 / $103.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $83.01 / $103.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $43.31 / $101.07