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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$1,327.90 / $1,403.78 / $1,555.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $3,889.91 / $4,391.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,513.53 / $2,513.53 / $2,513.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,609.28 / $5,609.28 / $5,609.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $2,736.04