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Hawaii 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
$618.75 / $701.25 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.54 / $785.34 / $937.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $900.00 / $1,125.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $900.00 / $1,125.00