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PIK3CA Testing On A Blood Plasma Sample

South Carolina rates for HCPCS 0177U

A breast cancer test that examines plasma, the liquid part of a blood sample, for 11 specific changes in the PIK3CA gene. The result states whether any of those changes were found. Because the test works from a blood draw, no tumor tissue has to be removed; a companion version looks for the same 11 changes in tumor tissue.

Facilitymedian $525 · 10th–90th $191$1,3180%10%10th90th$525Professionalmedian $214 · 10th–90th $182$3090%50%10th90th$214$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$676.08
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$147.91
Typical High
$245.47