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Ohio 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
$1,189.90 / $2,558.29 / $3,718.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.90 / $1,189.90 / $1,487.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.35 / $1,636.11 / $2,632.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $594.95 / $1,142.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.26 / $1,561.74 / $2,454.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.26 / $1,933.58 / $3,569.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.79 / $1,531.40 / $5,075.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.42 / $966.79 / $2,136.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.39 / $1,531.40 / $5,752.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $680.42 / $966.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.05 / $818.05 / $818.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $892.42 / $1,948.45