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Arizona rates for HCPCS 0002M

Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algorithm reported as quantitative scores for fibrosis, steatosis and alcoholic steatohepatitis (ASH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,000.00 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $912.01 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $489.78 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $426.58 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $407.38