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Indiana 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
$449.36 / $1,172.25 / $1,441.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.69 / $320.42 / $371.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.55 / $1,172.25 / $2,121.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $203.55 / $274.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.75 / $488.44 / $8,612.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $429.83 / $527.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.99 / $738.51 / $1,523.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.69 / $448.93 / $561.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $234.45 / $390.75