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Oklahoma 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
$6.87 / $56.03 / $157.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $6.40 / $7.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.09 / $5.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $34.54 / $50.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $8.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $5.71 / $13.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $8.22 / $11.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $8.17 / $65.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.71 / $11.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $5.61 / $11.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.21 / $8.17