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Idaho rates for HCPCS 0108U

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-2, CD45RO, HIF1a, HER-2, K20) and morphology, formalin-fixed paraffin-embedded tissue, algorithm reported as risk of progression to high-grade dysplasia or cancer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,513.56 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,011.87 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,897.79 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,888.44 / $5,888.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $5,248.07
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,513.56