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Utah 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
$596.09 / $3,123.51 / $4,095.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.09 / $596.09 / $596.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.12 / $582.26 / $1,824.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.78 / $794.78 / $794.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.19 / $761.67 / $761.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.95 / $762.17 / $990.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.17 / $278.17 / $397.39