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Minnesota 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
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,905.46 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,244.36 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $3,890.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,456.54 / $13,803.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,584.89 / $4,073.80