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Iowa 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
$9.55 / $74.13 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $12.02 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.85 / $19.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $19.95 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $19.05 / $93.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $9.77 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.47 / $85.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,570.88 / $12,882.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.92 / $19.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.13 / $8.13