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Maine rates for HCPCS 0009U

Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene amplified or non-amplified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $81.28 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $69.18 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $128.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $107.15 / $154.88