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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
$2,818.38 / $15,135.61 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,754.23 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $14,791.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,162.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,162.28
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,905.46