go back

Delaware 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
$8.61 / $171.94 / $314.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $9.52 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.31 / $5.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $9.50 / $15.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $20.09 / $53.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.90 / $11.42