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Louisiana rates for HCPCS 0002M

Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algorithm reported as quantitative scores for fibrosis, steatosis and alcoholic steatohepatitis (ASH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.60 / $726.40 / $2,647.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.55 / $558.77 / $654.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.96 / $928.12 / $1,358.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $377.55 / $884.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.88 / $965.93 / $3,556.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.80 / $266.80 / $656.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.36 / $251.70 / $755.10