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South Carolina 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
$97.83 / $352.38 / $2,148.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.96 / $437.96 / $437.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,099.14 / $3,099.14 / $3,311.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $688.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.88 / $1,459.36 / $2,870.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $656.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.55 / $453.06 / $667.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.71 / $503.40 / $503.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.87 / $276.87 / $398.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $604.08