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Florida 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
$1,005.41 / $1,289.96 / $2,219.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,620.11 / $6,620.11 / $7,931.64
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.07 / $1,612.45 / $4,239.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.95 / $804.71 / $4,363.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.45 / $3,261.00 / $3,261.00