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Kentucky 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 / $537.03 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $204.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $5,888.44 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,862.09 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $389.05