go back

Nebraska 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
$3,801.89 / $5,011.87 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,445.44 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,951.21 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,819.70 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,148.15 / $1,905.46