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Hawaii 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
$630.96 / $758.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $758.58 / $1,148.15