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Maine 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
$275.42 / $275.42 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $177.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $331.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $275.42 / $416.87