go back

Utah 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
$95.50 / $512.86 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $194.98 / $512.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $107.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $93.33 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $64.57