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New York 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
$8.17 / $34.84 / $722.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $6.54 / $8.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $3.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $8.17 / $21.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.88 / $16.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.17 / $8.17
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.17 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $16.26 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $9.13 / $40.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $10.62 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.90 / $14.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.32 / $7.32 / $7.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.76 / $9.82
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $16.70 / $41.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.44 / $5.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $19.59 / $110.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $9.13 / $17.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.60 / $6.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.90 / $12.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.40 / $9.40 / $29.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $8.84 / $10.64