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Rhode Island 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 / $1,859.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.06 / $3,330.06 / $3,330.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.29 / $1,507.95 / $3,624.86