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Louisiana 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
$2,010.82 / $2,737.37 / $9,977.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $2,295.37 / $2,466.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.07 / $3,704.65 / $5,837.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.30 / $165.36 / $166.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $1,897.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,985.14 / $3,639.47 / $13,398.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,081.48 / $2,655.80