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Blood Score Panel For Fatty Liver Disease

Illinois 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$1,2590%10%20%10th90th$794Professionalmedian $501 · 10th–90th $275$1,0230%10%10th90th$501$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
$489.78
Median
$794.33
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$870.96
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$691.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$660.69
Typical High
$870.96
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$501.19