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Blood Score Panel For Fatty Liver Disease

Nebraska 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 $741 · 10th–90th $309$2,5120%10%20%10th90th$741Professionalmedian $372 · 10th–90th $302$7240%20%10th90th$372$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
$309.03
Median
$1,000.00
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$380.19
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$549.54