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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
$1,341.16 / $1,341.16 / $1,341.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.02 / $1,252.02 / $3,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.27 / $3,016.23 / $3,111.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.40 / $3,446.13 / $4,307.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.92 / $1,252.02 / $9,010.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $1,138.20 / $5,482.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.40 / $3,469.14 / $4,245.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.40 / $4,133.91 / $4,856.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.48 / $2,219.48 / $3,869.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.29 / $1,138.20 / $3,699.15