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New Jersey 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
$977.24 / $1,000.00 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,659.59 / $1,659.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,659.59
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $26,302.68
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $758.58 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $794.33