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Oklahoma 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
$380.19 / $501.19 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $38.02 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $436.52 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $302.00