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Missouri 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
$724.44 / $1,258.93 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $630.96 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $549.54 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $891.25