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New Hampshire 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
$9.33 / $57.54 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $14.13 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.68 / $10.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.85 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.37 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $30.90 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.89 / $11.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.13 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.90 / $23.99