go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$1,233.05 / $1,422.75 / $1,422.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.60 / $1,517.60 / $1,730.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.41 / $1,005.41 / $1,005.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $2,276.40 / $2,845.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $853.65 / $1,726.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.50 / $948.50 / $948.50