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Massachusetts 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
Facility
Modifier
Low / Median / High Price
$13,968.90 / $13,968.90 / $13,968.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.31 / $1,759.28 / $2,035.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,512.50 / $23,512.50 / $23,512.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.95 / $2,079.00 / $24,651.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,029.54 / $6,029.54 / $7,224.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.00 / $4,950.00 / $4,950.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,512.50 / $23,512.50 / $23,512.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.95 / $2,079.00 / $24,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.95 / $1,507.95 / $4,790.43