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Kentucky 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)

Facilitymedian $166 · 10th–90th $6–$3630%10%20%10th90th$166Professionalmedian $126 · 10th–90th $47–$1740%10%20%10th90th$126$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $165.96 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $144.54 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $154.88 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $213.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $190.55 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $245.47 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $741.31 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $154.88