go back

Washington, DC 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
Facility
Modifier
Low / Median / High Price
$293.06 / $293.06 / $2,391.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.06 / $293.06 / $293.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $312.60 / $312.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.98 / $660.37 / $1,420.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.28 / $794.28 / $794.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $175.84 / $355.57