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Indiana 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
$8.71 / $70.79 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.61 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.90 / $8.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.07 / $8.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $8.13 / $10.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $8.13 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $13.49 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.90 / $8.13