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Virginia 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

Facilitymedian $389 · 10th–90th $204–$1,1480%10%10th90th$389Professionalmedian $186 · 10th–90th $110–$3310%10%20%10th90th$186$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $524.81 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $204.17 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,445.44 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $186.21
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $229.09 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $537.03 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $389.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $416.87
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $575.44
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $575.44
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $275.42 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $281.84