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Tennessee 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 / $1,608.66 / $5,178.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.75 / $1,479.66 / $1,612.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.44 / $2,504.04 / $3,737.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.73 / $4,087.17 / $6,772.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $9,143.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.78 / $9,010.75 / $9,010.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,447.06 / $9,447.06 / $14,227.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $1,897.00