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Montana 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
Professional
Modifier
Low / Median / High Price
$183.94 / $183.94 / $183.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,581.16 / $4,581.16 / $5,931.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,581.16 / $4,581.16 / $4,581.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,581.16 / $4,581.16 / $5,931.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.30 / $3,949.28 / $4,581.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.96 / $1,326.96 / $3,159.42