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South Carolina 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
$1,327.90 / $1,479.66 / $8,996.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.66 / $1,479.66 / $1,650.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $2,594.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,447.61 / $4,673.26 / $10,816.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.66 / $1,897.00 / $2,276.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $1,727.43