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Hawaii 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
$7.64 / $144.50 / $265.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.57 / $9.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $9.80 / $9.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $17.53 / $20.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $9.80 / $12.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $9.80 / $15.86
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $14.73 / $20.56