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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
$273.52 / $304.79 / $1,853.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.79 / $304.79 / $339.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $410.29 / $534.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.16 / $1,132.80 / $2,228.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.06 / $336.05 / $518.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.75 / $390.75 / $390.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $234.45 / $468.90