go back

New Mexico 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
$20.52 / $104.12 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $9.52 / $11.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.70 / $53.90 / $87.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.68 / $7.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.31 / $5.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $9.50 / $15.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $9.80 / $15.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $8.17 / $15.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $6.04 / $6.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.86 / $5.01