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Blood Score Panel For Fatty Liver Disease

Louisiana 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 $741 · 10th–90th $537$2,3440%10%10th90th$741Professionalmedian $398 · 10th–90th $263$6170%10%20%10th90th$398$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
$537.03
Median
$741.31
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,862.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$251.19
Typical High
$549.54