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Colorado 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
$208.87 / $578.57 / $1,011.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $208.87 / $258.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.78 / $791.51 / $1,326.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.42 / $115.42 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.19 / $184.00 / $839.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.59 / $336.59 / $398.50
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.87 / $292.42 / $384.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.86 / $384.76 / $549.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $164.90