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Oklahoma 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
$1,422.75 / $2,105.67 / $4,552.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.78 / $1,403.78 / $1,422.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.05 / $1,233.05 / $5,067.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.04 / $2,311.04 / $2,768.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.78 / $1,897.00 / $3,186.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $2,845.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $1,897.00