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Pennsylvania 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 $191 · 10th–90th $59$3310%10%20%10th90th$191Professionalmedian $59 · 10th–90th $46$3470%20%40%10th90th$59$10.0$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
$64.57 / $190.55 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $346.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $104.71 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $100.00
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $69.18 / $120.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $173.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $85.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $204.17 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $35.48 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $69.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $104.71