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Louisiana rates for HCPCS 0067U

Oncology (breast), immunohistochemistry, protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1], carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6], hyaluronoglucosaminidase [HYAL1], highly expressed in cancer protein [HEC1]), formalin-fixed paraffin-embedded precancerous breast tissue, algorithm reported as carcinoma risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $165.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,905.46 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $2,630.27