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Maryland 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
Professional
Modifier
Low / Median / High Price
$178.64 / $206.12 / $206.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.86 / $247.35 / $281.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $145.66 / $145.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $329.80 / $412.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $123.67 / $241.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $218.49 / $218.49