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Nebraska 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
$776.25 / $1,023.29 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $588.84 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $741.31 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $467.74 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $354.81 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $234.42 / $426.58