go back

Kentucky 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 / $1,759.28 / $1,759.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.26 / $336.26 / $4,207.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,682.50 / $41,999.58 / $131,862.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,692.50 / $6,930.00 / $91,163.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,940.00 / $5,940.00 / $5,940.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,745.13 / $6,313.96 / $23,859.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.96 / $1,507.95 / $2,513.25