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Washington 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

Facilitymedian $5,495 · 10th–90th $4,898–$8,7100%50%10th90th$5,495Professionalmedian $1,778 · 10th–90th $1,072–$6,0260%10%10th90th$1,778$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,380.38 / $1,778.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,495.41 / $7,079.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,495.41 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,495.41 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $4,897.79 / $4,897.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,495.41 / $7,079.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,905.46 / $6,025.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71