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Utah 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
$218.78 / $1,202.26 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $218.78 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $239.88 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $331.13 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $251.19 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $794.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $239.88 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $165.96