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Michigan 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
$448.48 / $478.23 / $746.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.62 / $503.40 / $597.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.56 / $562.40 / $1,000.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.73 / $377.55 / $509.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $557.25 / $696.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.60 / $478.23 / $878.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $473.60 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $320.16