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Connecticut rates for HCPCS 80053

Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $45.99 / $651.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.39 / $8.35 / $10.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.56 / $15.50 / $29.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.33 / $16.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $13.67 / $38.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.39 / $15.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $10.56 / $66.29
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.04 / $42.75 / $275.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $9.26 / $22.05