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Montana 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
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,633.00 / $6,633.00 / $6,633.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,177.50 / $7,177.50 / $7,177.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.92 / $2,261.92 / $7,177.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,055.57 / $2,513.25