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Idaho 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
$19.05 / $47.86 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $9.77 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $29.51 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.32 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $16.98 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.76 / $11.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $28.18 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.91 / $15.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $16.98 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.51
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.90 / $16.60