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North Carolina 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
$309.03 / $309.03 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $616.60 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $309.03 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $389.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09