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DCIS Breast Recurrence Risk Score

Washington rates for HCPCS 0045U

Estimates the risk of recurrence for ductal carcinoma in situ, an early breast condition in which abnormal cells have not spread beyond the milk duct, to help decide how much treatment is needed. It measures the activity of 12 genes in preserved breast tissue and reports a single combined score, scored for non-invasive disease rather than invasive tumors.

Facilitymedian $4,467 · 10th–90th $3,890$20,8930%20%40%10th90th$4,467Professionalmedian $3,467 · 10th–90th $2,188$4,6770%20%10th90th$3,467$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$17,378.01
Typical High
$38,904.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$3,715.35
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,754.40
Typical High
$7,762.47
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$8,511.38
Typical High
$10,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,890.45
Typical High
$17,782.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,890.45
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,570.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,165.95
Typical High
$12,022.64
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,754.40
Typical High
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,677.35
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$4,365.16
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$3,890.45
Typical High
$6,918.31