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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
$637.50 / $1,008.24 / $1,740.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.50 / $652.50 / $727.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $517.50 / $1,328.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.84 / $1,573.16 / $1,787.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $870.55 / $1,077.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $975.00 / $3,562.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $450.00 / $847.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $450.00 / $848.25