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New York 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
$316.23 / $741.31 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $630.96 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,862.09 / $1,862.09
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $645.65 / $1,513.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $758.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $436.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $741.31 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $588.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $446.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $446.68