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West Virginia 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
$225.36 / $343.54 / $412.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $225.36 / $233.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.02 / $1,545.92 / $7,420.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.80 / $371.02 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.30 / $550.00 / $824.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.68 / $1,324.68 / $1,324.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $123.67 / $371.02