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Virginia 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
$115.13 / $242.53 / $511.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $130.47 / $158.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.50 / $153.50 / $747.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.40 / $61.40 / $81.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.78 / $256.43 / $786.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.95 / $118.45 / $229.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.20 / $191.88 / $227.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.47 / $159.71 / $159.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.78 / $153.50 / $322.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.45 / $186.50 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.45 / $186.50 / $7,420.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.47 / $76.75 / $153.50