go back

Blood Score Panel For Fatty Liver Disease

Arizona 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.

Rates data updated June 2026.

Facilitymedian $501 · 10th–90th $224$2,3990%5%10th90th$501Professionalmedian $389 · 10th–90th $275$4900%10%20%10th90th$389$100.0$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
$389.05
Median
$1,000.00
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$489.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$309.03
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$354.81
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$691.83
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
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$501.19