go back

Pennsylvania 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
$1,204.77 / $4,044.46 / $6,220.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $1,204.77 / $9,563.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $6,650.92 / $10,109.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.15 / $1,160.15 / $1,160.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.79 / $1,933.58 / $4,350.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.98 / $1,708.99 / $2,136.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $877.55 / $2,013.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.35 / $2,348.11 / $2,645.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.91 / $3,514.64 / $6,142.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.04 / $1,219.64 / $6,142.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.33 / $2,302.19 / $4,935.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.58 / $1,708.99 / $2,136.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.37 / $1,487.37 / $1,636.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.89 / $1,487.37 / $1,636.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $922.17 / $2,721.89