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Connecticut rates for HCPCS 0155U

Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis (ie, p.C420R, p.E542K, p.E545A, p.E545D [g.1635G>T only], p.E545G, p.E545K, p.Q546E, p.Q546R, p.H1047L, p.H1047R, p.H1047Y), utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.70 / $274.83 / $1,056.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.66 / $180.70 / $192.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.43 / $354.34 / $713.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.67 / $204.74 / $426.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.71 / $883.97 / $1,576.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.05 / $500.74 / $678.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $164.90 / $482.30