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Nebraska 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
$45.88 / $45.88 / $69.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $69.52 / $447.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.43 / $294.13 / $573.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.84 / $105.67 / $114.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $100.15 / $158.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $87.17 / $330.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $41.71 / $139.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.50 / $132.35 / $272.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.50 / $134.18 / $181.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.63 / $41.71 / $139.04