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New Jersey 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
$354.81 / $363.08 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $223.87 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $602.56 / $1,258.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $602.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $275.42 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $288.40