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North Carolina 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 $72 · 10th–90th $52–$2290%10%10th90th$72Professionalmedian $56 · 10th–90th $46–$3470%20%10th90th$56$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $74.13 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $173.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $69.18 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $151.36 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $70.79 / $104.71
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $72.44 / $83.18
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $52.48
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
$31.62 / $34.67 / $69.18
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13