go back

Idaho 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
$3,423.71 / $3,423.71 / $4,932.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.90 / $3,699.15 / $3,699.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.66 / $3,945.76 / $7,398.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.46 / $3,699.15 / $4,069.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $2,276.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $1,897.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.50 / $3,794.00 / $6,829.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.25 / $2,835.25 / $2,929.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $2,181.55