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Minnesota 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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $501.19 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $660.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $3,630.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,096.48