go back

Idaho 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
$501.19 / $501.19 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $223.87 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $512.86 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $575.44 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $288.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $275.42