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Tennessee 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
$1,884.94 / $1,960.34 / $2,236.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.94 / $3,518.55 / $4,951.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,940.00 / $5,940.00 / $5,940.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,859.00 / $23,859.00 / $23,859.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,613.00 / $12,127.50 / $23,512.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,651.00 / $24,651.00 / $37,125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.57 / $1,507.95 / $4,950.00