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Blood Score Panel For Fatty Liver Disease

Delaware 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 $575 · 10th–90th $537$8910%50%10th90th$575Professionalmedian $398 · 10th–90th $398$4170%50%90th$398$200.0$500.0$1.0K

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
$537.03
Median
$575.44
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19