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California 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
$112.20 / $338.84 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $77.62 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $229.09 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $67.61 / $177.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $223.87 / $870.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $74.13 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $169.82 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $77.62 / $151.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $223.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $117.49 / $117.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $100.00 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $75.86 / $194.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $53.70 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $47.86 / $263.03