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Colorado 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
$567.21 / $822.61 / $1,437.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.06 / $332.14 / $371.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.70 / $1,164.44 / $1,789.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.11 / $164.11 / $355.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.51 / $342.89 / $1,005.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.09 / $448.93 / $561.16
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.97 / $304.79 / $498.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.80 / $507.98 / $722.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.68 / $351.68 / $351.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $164.12 / $300.88