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Connecticut 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
$275.42 / $275.42 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $426.58 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $338.84 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $954.99 / $1,380.38
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $478.63