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Oregon 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
Facility
Modifier
Low / Median / High Price
$4,729.03 / $4,729.03 / $4,729.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.84 / $1,612.45 / $3,699.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,831.87 / $8,831.87 / $8,831.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,435.00 / $9,636.95 / $15,563.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.51 / $1,840.09 / $11,957.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,435.00 / $7,337.25 / $7,609.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,435.00 / $5,435.00 / $7,609.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,276.40 / $2,276.40 / $8,831.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.69 / $2,086.69 / $6,522.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,685.12 / $9,142.23 / $17,127.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $796.74 / $5,706.75