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Michigan 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
$1,690.06 / $1,802.15 / $2,811.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,517.60 / $1,612.45 / $2,845.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.76 / $1,263.76 / $1,330.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.76 / $1,330.27 / $1,479.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.96 / $2,311.96 / $2,889.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.15 / $1,802.15 / $3,311.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.12 / $1,821.12 / $2,458.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,138.20 / $1,897.00