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Washington 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 / $3,388.44 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,659.59 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,047.13
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $2,238.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $891.25 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,348.96