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Louisiana 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
$288.40 / $398.11 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $537.03 / $851.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $309.03 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $389.05