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Blood Score Panel For Fatty Liver Disease

Connecticut 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 July 2026.

Facilitymedian $794 · 10th–90th $501$1,4130%20%10th90th$794Professionalmedian $331 · 10th–90th $275$5010%50%10th90th$331$50.0$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
$501.19
Median
$724.44
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,348.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,071.52
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$467.74
Typical High
$891.25