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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
$7,880.14 / $14,235.10 / $22,242.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,964.10 / $14,235.10 / $21,924.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,240.46 / $5,240.46 / $5,240.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,087.58 / $9,087.58 / $9,087.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $6,108.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,639.50 / $7,018.90 / $7,588.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.30 / $4,268.25 / $4,268.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,240.46 / $7,018.90 / $9,087.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,216.75 / $5,216.75 / $5,216.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $3,794.00 / $5,723.65