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Blood Score Panel For Fatty Liver Disease

Arkansas 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 $631 · 10th–90th $501$8710%50%10th90th$631Professionalmedian $468 · 10th–90th $309$6310%10%10th90th$468$200.0$500.0$1.0K

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
$630.96
Median
$630.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19