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Nebraska 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
Facility
Modifier
Low / Median / High Price
$1,720.98 / $1,720.98 / $1,720.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,445.00 / $7,712.10 / $8,118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,940.00 / $5,940.00 / $5,940.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,267.00 / $3,267.00 / $23,512.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.95 / $1,507.95 / $24,651.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.04 / $5,940.00 / $10,197.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,816.04 / $5,940.00 / $12,375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.55 / $1,507.95 / $4,900.84