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Utah 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
$81.28 / $302.00 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $77.62 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $87.10 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $112.20 / $141.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $263.03 / $467.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $89.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $309.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $58.88