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Utah 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
$2,843.48 / $14,899.80 / $19,534.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.48 / $2,843.48 / $2,843.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.51 / $2,777.48 / $8,705.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,791.30 / $3,791.30 / $3,791.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.20 / $3,633.33 / $3,791.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,271.55 / $3,635.05 / $4,721.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.96 / $1,326.96 / $1,895.65