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Arizona 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
$1,445.44 / $3,801.89 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,467.37 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,659.59 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,905.46 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,148.15