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Maine rates for HCPCS 0177U

Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene mutation status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $331.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $275.42 / $371.54