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South Dakota 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)

Facilitymedian $98 · 10th–90th $31–$2290%5%10th90th$98Professionalmedian $11 · 10th–90th $7–$1000%10%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $109.65 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.72 / $100.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $12.30
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $44.67 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.75 / $11.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.50 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $7.41 / $11.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13