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Michigan 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
$371.54 / $371.54 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $588.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $933.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $524.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $251.19