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Blood Score Panel For Fatty Liver Disease

Maine 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 $501 · 10th–90th $501$8130%50%90th$501Professionalmedian $389 · 10th–90th $302$5130%20%10th90th$389$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
$501.19
Median
$501.19
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$489.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$588.84
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$724.44