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North Carolina 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
$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
$1,000.00 / $1,513.56 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $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
$407.38 / $562.34 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $407.38 / $501.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $501.19 / $501.19
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