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Kansas 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
$489.78 / $933.25 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $831.76 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $436.52 / $912.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19