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North Carolina 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
$602.56 / $602.56 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,174.90 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $602.56 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $758.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13