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New Hampshire 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
$74.13 / $154.88 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $64.57 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $190.55 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $63.10 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $371.54 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.29 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $218.78