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North Dakota 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
$1,759.28 / $1,759.28 / $1,759.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,770.78 / $11,137.50 / $11,193.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,688.25 / $5,688.25 / $7,110.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.00 / $1,809.54 / $3,762.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.95 / $3,216.96 / $24,651.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.52 / $3,644.21 / $6,534.00