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Blood Score Panel For Fatty Liver Disease

Alaska rates for HCPCS 0003M

Assesses liver damage in non-alcoholic fatty 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 $437 · 10th–90th $363$1,9950%20%10th90th$437Professionalmedian $468 · 10th–90th $398$1,6220%20%40%10th90th$468$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
$2,187.76
Median
$3,890.45
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$1,698.24
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,698.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$1,995.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,122.02
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$457.09
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$501.19
Typical High
$1,513.56