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Blood Score Panel For Alcohol Related Liver Disease

Wisconsin 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 $1,318 · 10th–90th $407$2,3990%20%10th90th$1,318Professionalmedian $427 · 10th–90th $200$1,4790%10%10th90th$427$100.0$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
$602.56
Median
$1,380.38
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,380.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$1,584.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,000.00
Typical High
$2,951.21
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$478.63
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$1,380.38
Network Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,445.44
Network Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$1,000.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$1,659.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,398.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,754.23
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$912.01