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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
$14.31 / $154.86 / $391.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.52 / $8.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.90 / $8.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $25.23 / $47.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.00 / $6.20
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.55 / $12.66 / $107.96
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $8.17 / $13.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $8.17 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $17.84 / $37.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.28 / $13.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.62 / $65.64 / $65.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $10.18 / $14.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $8.17 / $266.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $8.17 / $13.17
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.29 / $1,528.00 / $2,580.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $8.17 / $20.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $6.36 / $11.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $6.04 / $10.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.67 / $6.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.04 / $8.17