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Illinois rates for HCPCS 0166U

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utilizing serum, algorithm reported as scores for fibrosis, necroinflammatory activity, and steatosis with a summary interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.99 / $825.58 / $1,313.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.99 / $330.99 / $427.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.97 / $704.76 / $891.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.76 / $1,250.50 / $2,316.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.74 / $613.72 / $767.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $679.59 / $901.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.70 / $345.33 / $629.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $528.57 / $1,243.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $503.40