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Ohio 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
$219.86 / $476.14 / $846.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $219.86 / $225.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.44 / $127.51 / $356.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $803.88 / $7,904.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.43 / $659.59 / $6,467.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.27 / $282.97 / $1,568.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.60 / $1,546.60 / $1,546.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.27 / $282.97 / $1,852.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $362.97