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Blood Score Panel For Fatty Liver Disease

Washington, DC 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 $603 · 10th–90th $380$3,0900%20%40%10th90th$603Professionalmedian $380 · 10th–90th $355$4900%50%10th90th$380$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
$380.19
Median
$380.19
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$380.19
Typical High
$489.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$851.14
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$630.96