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Indiana 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
$2,006.65 / $3,499.97 / $6,999.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.96 / $1,555.54 / $1,612.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.20 / $5,691.00 / $10,298.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.82 / $1,549.20 / $2,087.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.00 / $2,466.10 / $3,035.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $2,276.40 / $2,845.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.05 / $3,585.56 / $7,397.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.94 / $2,311.04 / $2,768.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $2,084.80