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Massachusetts 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
$537.03 / $1,698.24 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $724.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,041.74 / $3,630.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,096.48
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,230.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,041.74 / $3,630.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $588.84 / $1,318.26