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Pennsylvania 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 / $1,000.00 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $316.23 / $446.68
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $537.03 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $562.34
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $676.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,000.00 / $1,698.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $1,380.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $426.58 / $1,047.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $588.84