go back

Alaska rates for HCPCS 81509

Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG [any form], DIA), utilizing maternal serum, algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.31 / $10,264.29 / $17,439.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,982.68 / $4,982.68 / $9,563.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.85 / $4,108.85 / $4,108.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.99 / $1,708.99 / $2,136.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.69 / $743.69 / $743.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.37 / $1,487.37 / $5,949.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,205.80 / $5,503.27 / $5,949.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.63 / $2,231.06 / $5,949.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.69 / $743.69 / $743.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.00 / $1,487.37 / $4,090.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.32 / $2,974.74 / $4,487.71