go back

North Dakota 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
$354.81 / $467.74 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $602.56 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $501.19 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $501.19 / $724.44