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Nationwide rates for HCPCS 81512

Fetal congenital abnormalities, biochemical assays of five analytes (AFP, uE3, total hCG, hyperglycosylated hCG, DIA) utilizing maternal serum, algorithm reported as a risk score

Facilitymedian $112 · 10th–90th $59$3310%10%20%10th90th$112Professionalmedian $60 · 10th–90th $42$3470%20%10th90th$60$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $120.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $93.33 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $31.62 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $134.90 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $85.11 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $69.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $83.18