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Utah 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
$96.30 / $504.61 / $661.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.30 / $96.30 / $96.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.46 / $94.06 / $294.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $128.40 / $128.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.00 / $123.05 / $433.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $113.26 / $133.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $107.00