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Mississippi 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 / $177.83 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.13 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.27 / $5.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.12 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.90 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.62 / $25.70