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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
$496.01 / $496.01 / $714.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $535.91 / $535.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.37 / $571.65 / $1,071.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.68 / $535.91 / $589.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $280.33 / $329.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.25 / $549.66 / $989.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $410.94 / $424.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $115.43 / $412.25