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North Carolina 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
$398.11 / $1,584.89 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $794.33 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $407.38 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $251.19 / $501.19
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83