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Montana 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
Professional
Modifier
Low / Median / High Price
$1,710.48 / $9,563.79 / $9,563.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.69 / $2,900.37 / $4,395.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.99 / $2,136.23 / $2,156.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.69 / $2,900.37 / $4,395.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.63 / $1,338.63 / $2,156.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $624.70 / $1,487.37