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Virginia 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
$18.22 / $110.86 / $309.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.57 / $8.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.17 / $8.17 / $39.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.21 / $37.00 / $55.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $20.90 / $41.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $5.48 / $11.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $10.21 / $12.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $6.62 / $7.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $12.12 / $22.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $11.85 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $11.49 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $4.09 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.83 / $6.85