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Ohio 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
$707.95 / $1,122.02 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $891.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $11,748.98 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $870.96 / $1,071.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,584.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,513.56
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $758.58