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Indiana 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
$1,709.01 / $2,136.26 / $2,136.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.42 / $73.44 / $117.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.50 / $6,435.00 / $6,930.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,950.00 / $5,940.00 / $7,425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $6,029.54 / $14,447.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,507.95 / $2,762.06