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Nevada 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
$1,775.59 / $3,151.68 / $4,184.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.32 / $1,479.66 / $3,600.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.53 / $1,897.00 / $4,552.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.68 / $1,549.20 / $1,936.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.05 / $2,219.48 / $6,868.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.04 / $2,311.04 / $2,768.89
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.25 / $1,897.00 / $1,991.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $1,897.00