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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
$377.55 / $503.40 / $1,208.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $372.52 / $503.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $34.54 / $50.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.23 / $478.23 / $503.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.20 / $330.86 / $651.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $525.00 / $656.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.63 / $427.89 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $302.04