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Wisconsin 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)

Facilitymedian $107 · 10th–90th $18–$2340%5%10%10th90th$107Professionalmedian $7 · 10th–90th $6–$520%20%10th90th$7$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $117.49 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.61 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $32.36
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $8.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.30 / $40.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $17.78 / $64.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $81.28 / $186.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $28.84 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $23.44
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.49 / $22.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $20.42 / $33.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $66.07
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.37 / $8.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $7.24 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.76 / $30.90