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Utah 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
$354.81 / $1,905.46 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $346.74 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $389.05 / $1,819.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $354.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $389.05 / $1,122.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $309.03