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Blood Score Panel For Alcohol Related Liver Disease

North Dakota 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 June 2026.

Facilitymedian $468 · 10th–90th $355$9120%20%10th90th$468Professionalmedian $759 · 10th–90th $355$1,1220%10%10th90th$759$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
$354.81
Median
$467.74
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$501.19
Typical High
$724.44