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North Dakota 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
$1,318.26 / $1,479.11 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $12,302.69 / $12,302.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,754.23 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $2,454.71 / $7,244.36