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Michigan rates for HCPCS 81309

PIK3CA (phosphatidylinositol-4, 5-biphosphate 3-kinase, catalytic subunit alpha) (eg, colorectal and breast cancer) gene analysis, targeted sequence analysis (eg, exons 7, 9, 20)

Facilitymedian $263 · 10th–90th $263–$4790%50%90th$263Professionalmedian $234 · 10th–90th $166–$3310%10%20%10th90th$234$10.0$20.0$50.0$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
$263.03 / $263.03 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $234.42 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $316.23 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $204.17 / $204.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $331.13 / $616.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $660.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $275.42 / $407.38
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $331.13 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $275.42 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $275.42