go back

New Hampshire 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
$1,000.00 / $1,000.00 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $275.42 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $2,238.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,230.27 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $389.05