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Iowa 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
$9,332.54 / $9,332.54 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,888.44 / $5,888.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $6,606.93 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $5,888.44 / $23,442.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $4,897.79 / $24,547.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $7,413.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79