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Minnesota 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
$1,327.90 / $1,327.90 / $1,327.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,782.80 / $5,435.00 / $5,435.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,705.81 / $39,806.15 / $47,692.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,307.84 / $7,931.64 / $11,042.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,854.97 / $37,552.98 / $37,552.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,245.39 / $6,245.39 / $9,171.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $10,054.75 / $17,120.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.47 / $1,897.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.47 / $1,517.60 / $4,039.97