go back

Texas 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
$11.22 / $154.88 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.61 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.90 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $24.55 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.68 / $6.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $12.30 / $177.83
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.32 / $13.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $16.98 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.03 / $13.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.23 / $15.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $50.12 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.92 / $6.92
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.13 / $23.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.31 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $4.90 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.79 / $7.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $8.13