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Delaware rates for HCPCS 80414

Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.39 / $59.39 / $59.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $42.86 / $42.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.57 / $33.57 / $33.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $59.47 / $80.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $30.98 / $72.16