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Michigan 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
$66.04 / $66.04 / $103.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.01 / $66.04 / $71.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.35 / $78.64 / $138.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $52.14 / $70.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $84.67 / $105.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $66.04 / $121.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $66.04 / $83.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.80 / $57.56 / $77.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $41.71 / $44.21