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Blood Score Panel For Fatty Liver Disease

Oklahoma 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 $50 · 10th–90th $29$1,2880%10%10th90th$50Professionalmedian $372 · 10th–90th $214$5010%20%40%10th90th$372$20.0$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
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$35.48
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$524.81
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$436.52
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$302.00