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Maine 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
$662.32 / $662.32 / $1,407.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.48 / $536.48 / $536.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.39 / $2,000.00 / $2,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.32 / $662.32 / $668.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$662.32 / $662.32 / $1,072.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.48 / $536.48 / $662.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.78 / $397.39 / $1,159.06