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Blood Score Panel For Fatty Liver Disease

New Hampshire 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 $1,660 · 10th–90th $813$3,1620%10%10th90th$1,660Professionalmedian $389 · 10th–90th $275$9330%10%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
$1,288.25
Median
$1,288.25
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$426.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,659.59
Typical High
$2,884.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,819.70
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19