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Breast Precancer Protein Risk Score

Tennessee rates for HCPCS 0067U

Estimates a person's risk of developing breast cancer from breast tissue that already shows precancerous change. Four proteins — MMP-1, CEACAM6, HYAL1 and HEC1 — are stained and measured in the preserved tissue and combined into a single risk score. No genes are read.

Facilitymedian $1,698 · 10th–90th $1,148$6,7610%20%10th90th$1,698Professionalmedian $1,514 · 10th–90th $1,148$1,9050%20%40%10th90th$1,514$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,513.56
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,513.56
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,890.45
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$14,125.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$1,905.46