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North Dakota 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
$53.20 / $96.43 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.57 / $9.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.46 / $18.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $9.59 / $12.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $46.34 / $97.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $9.80 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $8.17 / $14.01