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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
$389.05 / $389.05 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $295.12 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $478.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $275.42 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $562.34