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Texas 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
$234.42 / $562.34 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $426.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $588.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $389.05 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $389.05 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $371.54 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $165.96 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $389.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53