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Alaska 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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $14,791.08 / $14,791.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $11,220.18 / $11,220.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $5,011.87 / $7,585.78