go back

Wyoming 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
Professional
Modifier
Low / Median / High Price
$1,897.00 / $1,897.00 / $1,897.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.25 / $2,940.00 / $6,070.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,794.28 / $3,794.28 / $3,794.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $1,897.00