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Connecticut 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
$493.13 / $750.00 / $1,711.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.13 / $493.13 / $525.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $1,100.63 / $1,856.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.12 / $450.00 / $843.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.50 / $2,412.30 / $4,303.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $861.93 / $1,077.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $442.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $562.50 / $1,328.63