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Arizona 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
$356.05 / $575.97 / $1,559.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.80 / $261.80 / $261.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.59 / $859.89 / $1,430.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.33 / $329.20 / $469.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.43 / $634.98 / $1,142.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $476.19 / $595.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $312.60 / $1,856.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $164.12 / $312.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $164.12 / $312.60