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Indiana 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
$543.10 / $1,079.58 / $2,185.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.12 / $543.10 / $562.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.32 / $1,986.96 / $3,595.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.01 / $2,000.00 / $2,000.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.32 / $861.02 / $1,059.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.32 / $794.78 / $993.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.51 / $1,252.04 / $2,583.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.16 / $811.18 / $1,933.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $397.39 / $727.89