go back

New York 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 / $436.98 / $783.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $180.70 / $233.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.28 / $109.93 / $278.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $274.83 / $274.83
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.63 / $274.83 / $274.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $580.58 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.90 / $1,324.68 / $1,875.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $357.28 / $618.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.57 / $362.78 / $596.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $274.83 / $498.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.57 / $939.57 / $939.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.05 / $670.86 / $713.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $329.80 / $665.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $416.53
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $316.05 / $316.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $274.83 / $330.32