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Montana 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 $158 · 10th–90th $98–$5500%10%20%10th90th$158Professionalmedian $95 · 10th–90th $68–$3390%20%10th90th$95$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$263.03 / $389.05 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $91.20 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $338.84 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $165.96 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $112.20 / $141.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $295.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $295.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $165.96 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $41.69 / $91.20