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Louisiana 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
$794.33 / $1,071.52 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $588.84 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $676.08 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $831.76