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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
$1,327.90 / $1,327.90 / $1,327.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,630.14 / $12,228.75 / $12,289.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,245.39 / $6,245.39 / $7,806.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.20 / $1,441.72 / $4,130.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.20 / $2,428.16 / $27,066.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.94 / $2,428.16 / $2,750.65