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Blood Score Panel For Alcohol Related Liver Disease

Utah 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 $2,455 · 10th–90th $457$3,1620%20%10th90th$2,455Professionalmedian $398 · 10th–90th $302$4790%20%10th90th$398$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
$457.09
Median
$2,454.71
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$457.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,445.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$446.68
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19