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Hawaii 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
$1,565.03 / $1,773.70 / $2,276.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.41 / $1,005.41 / $1,005.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.40 / $2,276.40 / $2,276.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.75 / $2,143.61 / $2,371.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.69 / $2,276.40 / $2,655.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $2,276.40 / $2,845.50