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Alaska rates for HCPCS 0247U

Obstetrics (preterm birth), insulin-like growth factor-binding protein 4 (IBP4), sex hormone-binding globulin (SHBG), quantitative measurement by LC-MS/MS, utilizing maternal serum, combined with clinical data, reported as predictive-risk stratification for spontaneous preterm birth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,888.44 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $724.44 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $2,511.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $3,019.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,513.56 / $2,238.72