go back

Washington, DC 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
$14.13 / $56.23 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $12.02 / $35.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $41.69 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.80 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $9.55 / $11.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.13 / $13.80