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Montana rates for HCPCS 81510

Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG [any form]), utilizing maternal serum, algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $81.28
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $169.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $169.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $316.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $54.95