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Ohio 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
$503.40 / $865.85 / $1,550.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.69 / $342.31 / $427.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.50 / $553.74 / $890.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.78 / $54.07 / $369.49
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.72 / $402.72 / $402.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.89 / $654.41 / $13,411.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.15 / $1,100.45 / $13,927.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.20 / $518.29 / $1,717.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $525.00 / $659.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.20 / $518.29 / $1,947.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $327.20 / $327.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.87 / $276.87 / $276.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $659.45