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Washington 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
$72.44 / $120.23 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $75.86 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $107.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $125.89 / $218.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $107.15 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $72.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $128.82