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Arizona rates for HCPCS 0155U

Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g.1635G>T only], p.E545G, p.E545K, p.Q546E, p.Q546R, p.H1047L, p.H1047R, p.H1047Y), utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.43 / $420.49 / $12,209.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.76 / $206.12 / $233.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.41 / $719.31 / $1,139.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $262.30 / $1,270.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.59 / $446.60 / $803.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.14 / $274.83 / $502.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $1,368.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $164.90