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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

Facilitymedian $115 · 10th–90th $72–$3550%5%10%10th90th$115Professionalmedian $58 · 10th–90th $48–$870%20%10th90th$58$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $128.82 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $56.23 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $144.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $64.57 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $75.86 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $144.54
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $79.43
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $114.82 / $223.87
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $89.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $190.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $64.57 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $37.15 / $128.82