go back

Minnesota 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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $398.11 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,995.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $478.63 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $588.84