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Ohio 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
$1,380.38 / $1,905.46 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $6,025.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $41,686.94 / $102,329.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $77,624.71 / $138,038.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $6,309.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $10,471.29 / $10,471.29
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $5,248.07 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $4,897.79