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Nebraska 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
$309.03 / $1,000.00 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $602.56 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $549.54