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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
$1,380.38 / $1,862.09 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $831.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $5,495.41 / $6,606.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $8,709.64
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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,888.44 / $7,943.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,754.23 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $5,888.44