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New Hampshire 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
$173.78 / $389.05 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $173.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $295.12 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $562.34 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $218.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $91.20 / $338.84