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Massachusetts 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 $309 · 10th–90th $174–$4790%10%10th90th$309Professionalmedian $155 · 10th–90th $120–$2570%20%10th90th$155$50.0$200.0$1.0K$5.0K$20.0K

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
$173.78 / $323.59 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $177.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $446.68 / $724.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $120.23 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $398.11
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $323.59
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $165.96 / $223.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $446.68 / $724.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $154.88 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $141.25 / $295.12