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Blood Score Panel For Alcohol Related Liver Disease

Washington 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 $631 · 10th–90th $501$2,7540%20%10th90th$631Professionalmedian $457 · 10th–90th $339$6030%20%10th90th$457$200.0$500.0$1.0K$2.0K$5.0K

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
$2,290.87
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$489.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,000.00
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,148.15
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,023.29
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$1,023.29
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,548.82
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,348.96
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$457.09
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$912.01