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Louisiana 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
$537.03 / $724.44 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $933.25 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $954.99 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $549.54