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Arizona rates for HCPCS 80076

Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $37.72 / $232.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.57 / $9.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.68 / $6.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $16.28 / $29.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $6.88 / $9.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $13.28 / $23.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $9.91 / $12.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.62 / $65.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.80 / $7.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $6.16 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.80 / $7.52