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Missouri 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
$2,290.87 / $3,162.28 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,630.78 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,905.46 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $2,089.30