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Vermont 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
Professional
Modifier
Low / Median / High Price
$484.53 / $484.53 / $484.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.02 / $654.02 / $654.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.02 / $654.02 / $654.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.99 / $448.93 / $561.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $234.45 / $547.04