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Virginia 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
$562.34 / $1,412.54 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,862.09 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $870.96 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,122.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $588.84 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $562.34