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Maryland 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 $37 · 10th–90th $30–$690%20%10th90th$37Professionalmedian $59 · 10th–90th $45–$3470%10%20%10th90th$59$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $58.88 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $45.71 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $66.07 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $79.43 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $31.62 / $67.61
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $104.71