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Wisconsin 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
$8,709.64 / $8,709.64 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $10,232.93 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $7,943.28 / $9,772.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $13,182.57 / $19,952.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $20,892.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,801.89 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $15,848.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,413.10 / $10,471.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $15,135.61 / $15,135.61
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $12,589.25 / $15,848.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,905.46 / $5,248.07