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Virginia 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
$1,412.54 / $3,981.07 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,000.00 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,630.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,548.82 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $3,715.35 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,089.30 / $2,630.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,819.70 / $2,951.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $3,981.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,187.76 / $3,981.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $2,187.76