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Louisiana 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
$73.69 / $95.80 / $365.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.09 / $77.17 / $350.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.77 / $128.16 / $187.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.55 / $76.47 / $89.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.52 / $69.52 / $69.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $173.60 / $322.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $49.02 / $100.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.81 / $34.76 / $104.28