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New Mexico 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
$52.14 / $104.28 / $208.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $83.42 / $447.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $56.87 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.19 / $45.19 / $45.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $80.12 / $100.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $38.24 / $38.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.76 / $66.04 / $83.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.01 / $69.52 / $69.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $41.71