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New Jersey 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
$501.19 / $524.81 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $870.96 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $446.68 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $229.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $251.19 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $389.05 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $234.42 / $398.11