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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
$112.20 / $112.20 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $48.98 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $77.62 / $87.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $100.00 / $263.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $46.77 / $50.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $54.95 / $173.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $48.98 / $83.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $44.67