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Oregon 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
$380.19 / $1,737.80 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $295.12 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $851.14 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $537.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $467.74 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $407.38 / $537.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,148.15 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $467.74