go back

South 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
$354.81 / $1,230.27 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $537.03 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,288.25 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $457.09 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $549.54