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Massachusetts 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
$354.81 / $1,122.02 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $489.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,513.56 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $562.34 / $691.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $912.01
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $1,513.56 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $380.19 / $602.56