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Arkansas 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.60 / $87.60 / $120.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $87.60 / $350.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.25 / $79.25 / $79.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.91 / $104.28 / $104.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.42 / $90.83 / $153.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $82.57 / $100.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.57 / $62.57 / $62.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $41.71 / $69.52