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New York 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 $123 · 10th–90th $68$2090%20%10th90th$123Professionalmedian $68 · 10th–90th $28$3470%10%20%10th90th$68$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$69.18 / $131.83 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $83.18 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $100.00
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $69.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $79.43 / $338.84
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $83.18 / $190.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $48.98 / $134.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $58.88 / $70.79
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $131.83 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $46.77 / $154.88
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $58.88 / $74.13
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $58.88 / $77.62