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Idaho 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
$193.11 / $193.11 / $278.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $74.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.30 / $417.30 / $417.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.74 / $208.65 / $229.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $109.14 / $128.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.50 / $214.00 / $385.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.69 / $159.69 / $165.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $123.05