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Maine 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
$69.18 / $69.18 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $812.83 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $100.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $69.18 / $85.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $112.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $104.71