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Georgia 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
$331.13 / $691.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $549.54 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $380.19 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $323.59 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $724.44