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Montana 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
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $263.03 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $223.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $190.55 / $467.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $467.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $263.03 / $870.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $154.88