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Massachusetts 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
$192.38 / $632.11 / $837.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.70 / $192.38 / $222.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $1,305.44 / $1,305.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $164.90 / $1,368.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.41 / $196.50 / $625.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.90 / $334.90 / $401.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.74 / $396.74 / $466.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $274.83 / $656.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $1,305.44 / $1,305.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $164.90 / $1,368.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.90 / $164.90 / $490.86