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Montana 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
Professional
Modifier
Low / Median / High Price
$449.36 / $449.36 / $449.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.59 / $566.59 / $566.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $561.16 / $566.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.59 / $566.59 / $566.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.68 / $351.68 / $566.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $164.12 / $390.75