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Michigan 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
$371.21 / $371.21 / $579.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.42 / $371.21 / $371.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.31 / $260.31 / $274.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.31 / $274.01 / $369.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $476.19 / $595.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.21 / $371.21 / $682.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.21 / $375.12 / $468.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $234.45 / $248.52