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Delaware 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
$578.91 / $578.91 / $578.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.69 / $417.82 / $417.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.20 / $327.20 / $327.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $656.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $503.40 / $935.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $755.10