Liver function panel
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Liver function panel Standard Service Package (SSP LA008). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS 80076 | Facility Fee | Blood Serum Test for Liver Enzyme Activity and Protein Levels |
| HCPCS 86140 | Facility Fee | Quantitative Serum Protein Measurement of Inflammation Signal |
| HCPCS 85025 | Facility Fee | Complete Automated Cbc, Differential Wbc Count |
| HCPCS 84520 | Facility Fee | Quantitative Measurement of Urea Nitrogen in Blood Serum |
| HCPCS 82565 | Facility Fee | Blood Creatinine Assay Measurement |
| HCPCS 85652 | Optional Fee | Automated Erythrocyte Sedimentation Rate Test |
| HCPCS 96365 | Optional Fee | Intravenous Drug/Substance Infusion, Initial Up to 1 Hour |