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Vermont 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
$81.28 / $100.00 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $104.71 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $9.55 / $13.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $7.08 / $22.39