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Blood Score Panel For Alcohol Related Liver Disease

Indiana 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.

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $501$1,5140%50%90th$501Professionalmedian $288 · 10th–90th $162$5010%10%20%10th90th$288$50.0$200.0$1.0K$5.0K$20.0K

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
$501.19
Median
$562.34
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$199.53
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$7,244.36
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$501.19
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$549.54