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Tennessee 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
$9.86 / $87.08 / $269.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.52 / $8.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $16.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $9.08 / $9.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $16.85 / $31.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $6.28 / $11.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.80 / $65.64 / $65.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $11.44 / $15.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $4.09 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.90 / $10.28