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Minnesota 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 / $91.34 / $246.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $6.52 / $8.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $31.08 / $70.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $8.17 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $29.86 / $71.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $12.06 / $15.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $27.30 / $56.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $9.50 / $15.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $65.64 / $172.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $10.05 / $75.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $6.04 / $6.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $6.85 / $17.39