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Wyoming 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
$58.59 / $72.19 / $206.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $52.57 / $52.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.24 / $112.00 / $231.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.46 / $144.46 / $144.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $83.01 / $103.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $30.32 / $72.19