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Idaho rates for HCPCS 0333U

Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high-risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des-gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.06 / $1,208.06 / $1,722.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.62 / $1,291.52 / $1,291.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.06 / $2,583.06 / $2,583.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.38 / $1,291.52 / $1,420.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.32 / $662.32 / $794.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.48 / $1,655.80 / $2,384.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.03 / $990.03 / $990.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $278.17 / $761.67