go back

Wyoming 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
$69.52 / $69.52 / $69.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.52 / $69.52 / $69.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $108.00 / $222.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.87 / $138.87 / $138.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.12 / $80.12 / $100.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $29.20 / $69.52