go back

New Jersey 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
$338.84 / $660.69 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,122.02 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $549.54 / $691.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $295.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $323.59 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $323.59 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $512.86