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Michigan 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
$261.08 / $261.08 / $407.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.98 / $261.08 / $261.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.03 / $340.15 / $516.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.81 / $206.12 / $220.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.94 / $334.94 / $418.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.08 / $261.08 / $479.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.08 / $263.83 / $329.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $274.83