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Texas 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
$72.59 / $183.09 / $481.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $72.59 / $117.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.79 / $287.45 / $514.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $53.96 / $137.35
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.65 / $147.16 / $381.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $137.35 / $137.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.80 / $184.30 / $418.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $50.06 / $148.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.97 / $466.02 / $466.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.87 / $98.11 / $117.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $98.11 / $98.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.87 / $98.11 / $245.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $69.79 / $98.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.07 / $98.11 / $117.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $41.21 / $81.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $39.24 / $98.11