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Nebraska 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
$257.89 / $257.89 / $276.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.89 / $257.89 / $257.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.43 / $294.13 / $573.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.97 / $593.94 / $640.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $709.59 / $886.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $464.22 / $1,856.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $234.45 / $781.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.90 / $593.94 / $804.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.90 / $593.94 / $856.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.73 / $234.45 / $429.83