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Massachusetts 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
$524.81 / $1,698.24 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $724.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,148.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,258.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,659.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,698.24