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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
$263.03 / $263.03 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $354.81 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $416.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $660.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $275.42