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Maine 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
$390.75 / $390.75 / $830.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.17 / $52.17 / $52.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.30 / $156.30 / $253.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $390.75 / $473.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.75 / $390.75 / $633.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.17 / $52.17 / $390.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $234.45 / $566.59