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Illinois 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

Facilitymedian $162 · 10th–90th $79–$3020%10%10th90th$162Professionalmedian $78 · 10th–90th $3–$1380%10%20%10th90th$78$5.0$20.0$100.0$500.0

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
$79.43 / $162.18 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $346.74 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $67.61 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $208.93 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $107.15 / $151.36
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $251.19
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $97.72 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $54.95 / $104.71