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South Carolina 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 / $1,862.09 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,862.09 / $4,365.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $616.60 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $758.58