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Vermont 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
Professional
Modifier
Low / Median / High Price
$930.00 / $930.00 / $930.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.31 / $1,255.31 / $1,255.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.93 / $861.93 / $1,077.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.31 / $1,255.31 / $1,255.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.50 / $861.93 / $1,077.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $1,050.00