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Arizona rates for HCPCS 0254U

Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a mitochondrial DNA score in euploid embryos, results reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism, and segmental aneuploidy, per embryo tested

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,513.56 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,380.38 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $660.69 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $758.58 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $457.09