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Massachusetts 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
$275.42 / $870.96 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $288.40 / $380.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $302.00 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $588.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $741.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $588.84