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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
$8,511.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $9,332.54 / $15,488.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $4,073.80 / $8,511.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $7,413.10 / $7,762.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,290.87 / $12,022.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,290.87 / $6,456.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $19,054.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,570.88 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $5,754.40