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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
$1,728.55 / $2,796.18 / $7,569.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.51 / $1,574.51 / $3,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.05 / $4,382.72 / $6,942.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.75 / $1,598.18 / $7,741.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.17 / $3,082.63 / $5,548.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.99 / $1,897.00 / $3,463.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $9,447.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $1,138.20