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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
$73.42 / $241.45 / $686.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.36 / $73.42 / $75.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.38 / $189.92 / $443.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $63.77 / $75.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.83 / $410.87 / $430.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.34 / $50.91 / $140.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.15 / $174.36 / $349.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $58.87 / $58.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $84.67 / $127.87