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Michigan 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
$5,644.00 / $5,644.00 / $5,644.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.63 / $3,644.75 / $4,686.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,032.69 / $6,459.75 / $7,540.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,640.84 / $8,640.84 / $8,640.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.71 / $2,412.71 / $5,780.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,507.95 / $2,136.26