go back

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
$600.00 / $600.00 / $1,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $600.00 / $600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.89 / $975.00 / $1,968.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $861.93 / $1,077.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $600.00 / $750.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.50 / $750.00 / $750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.50 / $375.00 / $750.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.00 / $3,562.50 / $3,562.50