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Missouri 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
$9.40 / $98.11 / $192.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $6.57 / $8.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $8.58 / $37.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $6.74 / $21.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $17.14 / $45.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $8.43 / $12.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $14.22 / $65.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $5.60 / $9.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $8.17 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.90 / $11.42