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Blood Score Panel For Alcohol Related Liver Disease

Iowa rates for HCPCS 0002M

Assesses liver damage from alcohol-related liver disease without needing a biopsy. Ten measurements from a serum sample, among them ALT, AST, GGT, total bilirubin, triglycerides, haptoglobin, alpha-2-macroglobulin and apolipoprotein A-1, are combined by a formula into three separate scores: one for scarring, one for fat in the liver, and one for inflammation.

Facilitymedian $794 · 10th–90th $389$1,3490%10%20%10th90th$794Professionalmedian $398 · 10th–90th $331$6030%20%10th90th$398$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$954.99
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$602.56
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$630.96
Typical High
$870.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,096.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$501.19