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Maine 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
$8.17 / $135.36 / $216.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.52 / $12.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $10.91 / $82.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $9.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.83 / $11.53 / $17.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.11 / $11.89
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.00 / $175.00 / $175.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $8.17 / $9.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $83.53 / $231.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $9.39 / $14.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.68 / $16.14