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Ohio 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
$1,517.60 / $3,286.55 / $5,842.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.90 / $1,517.60 / $1,555.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $94.57 / $2,466.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.00 / $5,548.73 / $45,499.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.20 / $4,552.80 / $44,622.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.98 / $1,953.15 / $10,826.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,678.32 / $10,678.32 / $10,678.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.98 / $1,953.15 / $12,789.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $2,505.37