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Rhode Island 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
$1,445.44 / $2,290.87 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $354.81 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $724.44