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Louisiana 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
$804.59 / $1,095.31 / $3,992.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.43 / $903.27 / $986.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $759.05 / $759.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.38 / $5,361.14 / $5,763.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $408.70 / $1,138.58