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Nebraska 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 $62–$7590%10%10th90th$309Professionalmedian $155 · 10th–90th $91–$1,0230%10%10th90th$155$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
$61.66 / $309.03 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $173.78 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $239.88 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $295.12 / $371.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $190.55 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $169.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $91.20 / $169.82