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North Carolina 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
$1,671.31 / $1,671.31 / $2,412.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.00 / $4,950.00 / $4,950.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.61 / $1,633.61 / $1,633.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.63 / $1,507.95 / $4,021.20
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,512.50 / $23,512.50 / $23,512.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,651.00 / $24,651.00 / $37,125.00