go back

Blood Score Panel For Alcohol Related Liver Disease

New Mexico 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 $1,622 · 10th–90th $380$1,6600%50%10th90th$1,622Professionalmedian $407 · 10th–90th $214$6030%20%10th90th$407$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
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$457.09
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$302.00