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Massachusetts 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
$14,454.40 / $14,454.40 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $2,137.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $24,547.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,244.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $4,897.79