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Vermont 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
Professional
Modifier
Low / Median / High Price
$192.38 / $340.79 / $340.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $130.00 / $130.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.05 / $274.83 / $1,236.74