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California 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
$1,332.02 / $2,086.00 / $2,362.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $396.78 / $632.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.25 / $3,217.50 / $7,169.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,820.56 / $11,820.56 / $11,820.56
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.00 / $5,445.00 / $7,920.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,455.00 / $5,445.00 / $8,662.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,920.00 / $23,512.50 / $23,512.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,651.00 / $24,651.00 / $37,125.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,211.16 / $5,940.00 / $7,920.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,764.58 / $2,937.50 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,174.44 / $5,572.88