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Alaska rates for HCPCS 0163U

Oncology (colorectal) screening, biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1, Cripto-1], carcinoembryonic antigen [CEA], extracellular matrix protein [ECM]), with demographic data (age, gender, CRC-screening compliance) using a proprietary algorithm and reported as likelihood of CRC or advanced adenomas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.17 / $2,696.56 / $4,581.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.01 / $1,309.01 / $1,309.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.46 / $1,079.46 / $1,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $296.97 / $468.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $390.75 / $1,563.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.78 / $1,445.78 / $1,563.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.68 / $586.13 / $1,563.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $300.88 / $761.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $390.75 / $1,074.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.84 / $781.50 / $1,178.97