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Tennessee 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
$397.69 / $698.47 / $1,620.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $377.55 / $503.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.77 / $377.55 / $805.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.80 / $999.41 / $1,439.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $557.25 / $696.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.90 / $2,391.15 / $2,391.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $503.40