go back

Blood Score Panel For Alcohol Related Liver Disease

South 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.

Facilitymedian $468 · 10th–90th $468$5750%50%90th$468Professionalmedian $468 · 10th–90th $339$1,0230%20%10th90th$468$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
$467.74
Median
$467.74
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$489.78
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$602.56
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19