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Idaho 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 / $912.01 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $489.78 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,047.13 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $524.81 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $660.69 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,819.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $602.56