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West Virginia 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
$407.38 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $467.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $977.24 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $2,398.83 / $2,398.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,659.59 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $229.09 / $501.19