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Montana 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
Professional
Modifier
Low / Median / High Price
$79.95 / $447.01 / $447.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $135.56 / $205.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $100.15 / $100.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.80 / $135.56 / $205.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $62.57 / $100.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $69.52