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Wyoming 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
$6.75 / $100.80 / $209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.54 / $7.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $15.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $13.00 / $26.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $16.05 / $16.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $9.50 / $11.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.72 / $11.42