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Connecticut rates for HCPCS 0003M

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 nonalcoholic steatohepatitis (NASH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $331.13 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $794.33 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $645.65 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $891.25