go back

Missouri 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
$489.78 / $851.14 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $870.96 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $870.96 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $588.84