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Missouri 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
$741.31 / $1,288.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $512.86 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $912.01 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $831.76