Descriptor: rising metabolic-risk group
National KED Performance Rate: 49%
Testing Rates (eGFR + uACR): 20–40%
DKD Prevalence: higher obesity/metabolic risk
State-Level KED Participation:
CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, OH, VA, WI
Description: Creatinine; blood
National Payment Rate: $5.12
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)
Description: Creatinine; clearance
National Payment Rate: $9.46
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)
Description: Basic metabolic panel including Ca, CO₂, Cl, Creatinine, Glucose, K, Na, BUN
National Payment Rate: $8.46
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)
Description: CMP including Albumin, Bilirubin, Ca, CO₂, Cl, Creatinine, Glucose, Alk Phos, K, Protein, Na, ALT, AST, BUN
National Payment Rate: $10.56
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)
Description: Albumin; urine (microalbumin), quantitative
National Payment Rate: $5.78
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)
Description: Creatinine; other source
National Payment Rate: $5.18
Additional Info: CLIA‑Waived Test
PA Requirement: No prior authorization required (routine lab test)