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Alaska rates for HCPCS 0253U

Reproductive medicine (endometrial receptivity analysis), RNA gene expression profile, 238 genes by next-generation sequencing, endometrial tissue, predictive algorithm reported as endometrial window of implantation (eg, pre-receptive, receptive, post-receptive)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $24,547.09 / $38,904.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $15,135.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $10,232.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $11,748.98 / $12,589.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $8,709.64 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $6,309.57 / $9,549.93