| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,258.93 | $1,621.81 | $3,715.35 | |
BCBS
| Professional | $4,897.79 | $4,897.79 | $7,413.10 | |
United
| Professional | $954.99 | $1,148.15 | $2,570.40 |
Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicopathologic factors (size, age, margin status, palpability), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a recurrence risk score
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,258.93 | $1,621.81 | $3,715.35 | |
BCBS
| Professional | $4,897.79 | $4,897.79 | $7,413.10 | |
United
| Professional | $954.99 | $1,148.15 | $2,570.40 |