| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,327.90 | $1,327.90 | $2,352.28 | |
MVP Health Care
| Professional | $1,233.05 | $1,233.05 | $1,233.05 | |
United
| Professional | $796.74 | $2,655.80 | $2,750.65 |
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 | $2,352.28 | |
MVP Health Care
| Professional | $1,233.05 | $1,233.05 | $1,233.05 | |
United
| Professional | $796.74 | $2,655.80 | $2,750.65 |