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Alaska rates for HCPCS 81511

Fetal congenital abnormalities, biochemical assays of four analytes (AFP, uE3, hCG [any form], DIA) utilizing maternal serum, algorithm reported as a risk score (may include additional results from previous biochemical testing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $645.65 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $218.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $158.49 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $616.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $562.34 / $616.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $309.03 / $467.74