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Tennessee 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
$1,412.54 / $1,513.56 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $5,495.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $25,703.96 / $25,703.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,915.35 / $40,738.03 / $40,738.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $2,570.40