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Texas 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
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,244.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,547.09 / $37,153.52 / $37,153.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,073.80 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $5,011.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,168.69 / $7,413.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,951.21 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $2,089.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $4,897.79