go back

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
$8.13 / $81.28 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.77 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $75.86 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $4.90 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $11.48 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $9.55 / $12.02
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.13 / $10.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $89.13 / $218.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.55 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $8.13 / $16.60