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Blood Score Panel For Alcohol Related Liver Disease

Montana 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 $631 · 10th–90th $501$1,5140%20%40%10th90th$631Professionalmedian $631 · 10th–90th $214$9120%20%10th90th$631$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$457.09
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19