go back

New York 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
$616.60 / $1,412.54 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,202.26 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $3,630.78 / $3,630.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,230.27 / $2,884.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,445.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $758.58 / $851.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $676.08 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,122.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $870.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $870.96