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Utah 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
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $349.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.10 / $45.54 / $135.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.47 / $48.82 / $153.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $64.02 / $80.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $63.87 / $224.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $45.31 / $63.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.33 / $23.33 / $33.32