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South 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
$275.42 / $954.99 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $302.00 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $416.87 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $954.99 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $354.81 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $426.58