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Virginia 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 / $1,778.28 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $4,073.80 / $4,466.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $6,918.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,890.45 / $6,760.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $4,677.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,235.94 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $3,388.44