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Oregon 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 / $1,258.93 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $380.19 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,318.26 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,096.48 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $691.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $724.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $549.54 / $870.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $501.19 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $1,995.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $602.56