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Illinois 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
$512.86 / $870.96 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $676.08 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,071.52 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $691.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $660.69 / $870.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19