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Nebraska 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 / $1,995.26 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,174.90 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $724.44 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $758.58