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Tennessee 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
$206.12 / $233.05 / $750.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $214.37 / $261.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.91 / $384.76 / $541.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.71 / $550.00 / $980.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $274.83 / $1,324.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.20 / $1,305.44 / $1,305.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.65 / $1,368.65 / $2,061.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $274.83