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Vermont 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
Professional
Modifier
Low / Median / High Price
$624.22 / $624.22 / $624.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.57 / $842.57 / $842.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $656.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.57 / $842.57 / $842.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $525.00 / $656.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.04 / $302.04 / $704.76