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Arizona 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
$458.70 / $742.01 / $2,008.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.69 / $366.62 / $366.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.66 / $270.08 / $449.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.31 / $353.91 / $504.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.86 / $818.03 / $1,472.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $557.25 / $696.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.63 / $427.89 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $302.04