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Vermont 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
$2,211.59 / $3,917.68 / $3,917.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,288.07 / $5,288.07 / $5,288.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,288.07 / $5,288.07 / $5,288.07
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.62 / $2,053.62 / $2,053.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.03 / $3,159.42 / $14,217.39