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Georgia 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
$501.19 / $1,348.96 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $977.24 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $1,047.13