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New Jersey 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 $269 · 10th–90th $89–$2,3990%10%20%10th90th$269Professionalmedian $65 · 10th–90th $48–$3470%20%10th90th$65$50.0$200.0$1.0K$5.0K$20.0K

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
$89.13 / $269.15 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $79.43 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $151.36 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $66.07 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $56.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $63.10 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $69.18