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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
$1,318.26 / $1,548.82 / $1,819.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,513.56 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,187.76 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $851.14 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99