| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.90 | $1,327.90 | $1,403.78 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $936.93 | $1,138.20 | $5,435.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.90 | $1,327.90 | $1,403.78 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $936.93 | $1,138.20 | $5,435.00 |