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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
$1,659.59 / $1,905.46 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $4,897.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,547.09 / $37,153.52 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $2,511.89