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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
$72.44 / $181.97 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $77.62 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $275.42 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $53.70 / $120.23
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $151.36 / $389.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $177.83 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $147.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $97.72 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $83.18 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $83.18 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $97.72 / $275.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $44.67 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $91.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $97.72