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New Jersey 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
$2,454.71 / $2,511.89 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,548.82 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $4,168.69 / $8,709.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $4,073.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,905.46 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,995.26