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Maine 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
$1,897.00 / $1,897.00 / $4,031.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.57 / $1,536.57 / $1,536.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $1,233.05 / $1,549.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $1,915.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $3,073.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,536.57 / $1,536.57 / $1,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.47 / $1,138.20 / $3,319.75