go back

Arizona rates for HCPCS 84112

Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.02 / $199.16 / $391.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.73 / $75.23 / $630.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.88 / $198.25 / $358.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.83 / $82.66 / $117.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.38 / $172.18 / $286.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.26 / $119.77 / $149.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.06 / $65.73 / $466.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $41.21 / $78.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.58 / $88.30 / $117.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.11 / $41.21 / $88.54