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Washington 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
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.62 / $255.48 / $264.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $366.18 / $616.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.19 / $176.19 / $299.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.19 / $176.19 / $440.48
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $251.04 / $377.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.62 / $229.05 / $341.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $331.84 / $444.85