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Kansas 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
$825.41 / $1,549.80 / $2,394.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.50 / $652.50 / $802.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.50 / $937.50 / $937.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.00 / $1,228.50 / $1,700.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $870.55 / $1,094.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $615.00 / $1,372.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $450.00 / $1,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $450.00 / $1,200.00