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Idaho 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
$118.04 / $145.52 / $286.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.68 / $191.31 / $191.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.66 / $103.95 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $112.75 / $140.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $191.31 / $273.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $117.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.16 / $196.22 / $353.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $168.78 / $172.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $58.87 / $106.03