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Maine 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
$79.45 / $98.11 / $245.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $79.47 / $79.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.94 / $130.97 / $648.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $39.24 / $74.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.59 / $102.60 / $209.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.65 / $99.19 / $140.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $118.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $245.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $79.47 / $98.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.64 / $58.87 / $127.22