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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
$274.83 / $274.83 / $584.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.68 / $199.68 / $199.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.00 / $1,758.20 / $2,049.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $109.93 / $233.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.83 / $274.83 / $277.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $274.83 / $445.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.68 / $199.68 / $274.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.73 / $147.91 / $369.78