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Arizona 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
$63.35 / $139.04 / $277.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.58 / $71.26 / $447.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $152.97 / $254.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.27 / $58.57 / $83.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.69 / $112.98 / $203.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $84.67 / $105.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.24 / $72.33 / $330.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $55.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $55.62