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Ohio 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
$607.24 / $1,305.57 / $2,337.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.34 / $607.24 / $622.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $761.10 / $1,361.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.61 / $1,027.22 / $16,067.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.61 / $1,037.42 / $17,856.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.42 / $1,598.55 / $5,117.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.42 / $1,598.55 / $5,117.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.05 / $759.05 / $759.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $1,002.48