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Louisiana 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
$2,664.05 / $3,041.03 / $3,267.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.86 / $147.69 / $171.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,950.00 / $4,950.00 / $4,950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $2,029.37 / $4,496.20