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Michigan 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
$93.20 / $93.20 / $154.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $93.20 / $93.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $110.97 / $194.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $73.58 / $99.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.02 / $103.02 / $103.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.52 / $112.75 / $140.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.76 / $93.20 / $171.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.37 / $93.20 / $117.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $81.23 / $109.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $53.02 / $90.64