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Illinois 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
$12.84 / $120.25 / $297.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.54 / $8.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $9.80 / $12.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.15 / $35.42 / $148.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.64 / $6.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.52 / $19.62 / $37.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $9.59 / $12.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $14.30 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $10.62 / $10.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.60 / $10.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $8.17 / $9.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $5.01 / $8.42