go back

Hawaii rates for HCPCS 0009U

Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene amplified or non-amplified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.28 / $100.05 / $128.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.71 / $56.71 / $56.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $128.40 / $128.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $120.91 / $133.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.70 / $128.40 / $149.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $128.40 / $160.50