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Hawaii 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
$323.59 / $389.05 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $389.05 / $588.84