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Iowa 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 / $1,412.54 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $1,778.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $933.25 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $1,621.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $758.58