go back

North Dakota 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
$1,327.90 / $1,327.90 / $3,414.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.90 / $1,327.90 / $1,783.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,855.46 / $3,822.46 / $4,268.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.23 / $2,180.23 / $3,200.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.20 / $1,441.72 / $3,414.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.47 / $2,276.40 / $3,794.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,934.94 / $3,224.90