go back

Alabama rates for HCPCS 0003M

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 nonalcoholic steatohepatitis (NASH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $575.44 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $660.69 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $407.38 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $251.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $501.19