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North Dakota 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
$192.38 / $192.38 / $494.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $258.33 / $258.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.69 / $553.78 / $618.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $315.95 / $463.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.90 / $208.87 / $494.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $329.80 / $549.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $280.33 / $549.66