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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
$795.00 / $1,082.25 / $3,944.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.50 / $832.50 / $975.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.10 / $1,464.68 / $2,307.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.50 / $604.01 / $5,693.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $861.93 / $1,077.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $375.00 / $1,125.00