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Idaho 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
$1,348.96 / $1,348.96 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,548.82 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,691.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $891.25