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Illinois 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
$1,949.84 / $3,311.31 / $5,754.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $2,089.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,570.40 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,290.87 / $2,754.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $2,570.40 / $3,548.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,905.46