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Blood Score Panel For Fatty Liver Disease

Tennessee 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 $468 · 10th–90th $251$2,3990%10%20%10th90th$468Professionalmedian $398 · 10th–90th $339$5010%20%10th90th$398$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$398.11
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$645.65
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$562.34
Typical High
$691.83
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19