go back

Oregon 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
$724.44 / $3,311.31 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,621.81 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,023.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,047.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $891.25 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $794.33 / $933.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,187.76 / $2,951.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $891.25