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Florida 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
$1,138.20 / $1,802.15 / $8,214.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.86 / $1,327.90 / $1,707.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.73 / $1,333.83 / $7,132.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.04 / $2,311.04 / $2,768.89
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $1,138.20 / $1,612.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.50 / $2,845.50 / $2,845.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.95 / $796.74 / $2,972.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $1,138.20 / $1,138.20