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Idaho 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
$4,900.84 / $5,390.92 / $7,425.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.00 / $5,940.00 / $6,187.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $9,652.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,397.83 / $7,397.83 / $7,645.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,055.57 / $2,890.24