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Louisiana 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
$104.00 / $132.44 / $480.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $108.90 / $127.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.70 / $167.49 / $245.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $107.92 / $111.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $137.35 / $137.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.77 / $213.75 / $456.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $46.69 / $140.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.38 / $54.38 / $54.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $49.06 / $175.52