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Nebraska 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
$10.24 / $96.90 / $400.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $6.57 / $17.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $30.24 / $58.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $12.42 / $13.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $10.00 / $18.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $65.64 / $175.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $16.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $16.64 / $25.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $18.00 / $23.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $7.35 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.90 / $16.34