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South Dakota 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
$2,187.76 / $3,630.78 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $2,344.23 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,025.60 / $7,585.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,019.95 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,905.46 / $15,848.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $3,630.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28