go back

Massachusetts 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 $158 · 10th–90th $95$3310%10%20%10th90th$158Professionalmedian $69 · 10th–90th $52$3470%20%40%10th90th$69$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$95.50 / $199.53 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $67.61 / $346.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $204.17 / $331.13
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $141.25 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $85.11 / $181.97
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $117.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $147.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $204.17 / $331.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $69.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $64.57 / $131.83