go back

Pennsylvania rates for HCPCS 0014M

Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years

Insurance Carrier
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $190.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $186.21 / $416.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $177.83 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $104.71