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Ohio 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
$312.60 / $672.09 / $1,203.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.52 / $312.60 / $371.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.01 / $203.55 / $390.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $507.98 / $10,412.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.48 / $854.33 / $10,812.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.99 / $402.32 / $2,230.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.99 / $448.93 / $561.16
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.99 / $402.32 / $2,230.03
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.99 / $253.99 / $253.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $234.45 / $468.90