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West 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
$1,555.54 / $2,371.25 / $2,845.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.75 / $1,555.54 / $1,612.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,560.94 / $10,670.63 / $51,219.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.40 / $2,560.94 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.31 / $2,276.40 / $5,690.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,143.54 / $9,143.54 / $9,143.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $948.50 / $2,750.65