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Pennsylvania 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
$12,302.69 / $20,417.38 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,778.28 / $2,137.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,606.93 / $10,715.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $8,128.31 / $12,589.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $20,417.38 / $20,417.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $20,417.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,897.79 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $4,570.88