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Arizona 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
$575.44 / $1,513.56 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $1,348.96 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $630.96 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $575.44 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $616.60 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $602.56