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Maine 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
$3,159.42 / $3,159.42 / $6,713.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.13 / $2,559.13 / $2,559.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $2,053.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,159.42 / $3,159.42 / $3,191.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.42 / $3,159.42 / $5,118.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.13 / $2,559.13 / $3,159.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,895.65 / $3,159.42 / $5,528.99