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Alaska rates for HCPCS 0067U

Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1], carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6], hyaluronoglucosaminidase [HYAL1], highly expressed in cancer protein [HEC1]), formalin-fixed paraffin-embedded precancerous breast tissue, algorithm reported as carcinoma risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $14,791.08 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,819.70 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $9,120.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $6,165.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $7,079.46 / $7,585.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,248.07 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,801.89 / $5,754.40