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Iowa 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
$38.90 / $97.72 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $123.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $125.89 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $66.07 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $56.23 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $66.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $51.29