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Indiana 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
$575.44 / $794.33 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.84 / $389.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $7,244.36 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $323.59 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $575.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19