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North Dakota 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
$525.00 / $525.00 / $1,350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.00 / $525.00 / $705.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.83 / $1,511.25 / $1,695.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $870.55 / $1,094.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $892.50 / $3,562.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $750.00 / $1,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $382.50 / $1,087.50