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
$258.33 / $258.33 / $258.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $255.59 / $258.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.08 / $274.83 / $274.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.86 / $274.83 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.44 / $1,002.13 / $2,410.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.10 / $401.25 / $556.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.70 / $914.51 / $1,898.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $315.95 / $499.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $480.95 / $755.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $219.86 / $724.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.41 / $186.88 / $630.42