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Blood Score Panel For Fatty Liver Disease

Montana 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 $676 · 10th–90th $501$3,0900%50%10th90th$676Professionalmedian $490 · 10th–90th $355$6760%20%10th90th$490$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,737.80
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$457.09
Typical High
$630.96
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
$213.80
Typical High
$501.19