go back

Colorado rates for HCPCS 0295U

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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $1,289.96 / $1,802.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $2,276.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,656.52 / $6,656.52 / $7,880.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,130.60 / $5,435.00 / $7,624.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,348.00 / $7,445.95 / $9,511.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $2,282.69