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Utah 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
$58.00 / $58.00 / $214.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $1,115.53 / $1,710.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.33 / $1,307.56 / $4,098.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.99 / $1,708.99 / $2,136.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.37 / $1,710.48 / $6,023.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.51 / $1,212.26 / $1,714.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.70 / $624.70 / $892.42