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Indiana 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
$42.34 / $59.39 / $190.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $43.38 / $55.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $46.48 / $154.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $25.05 / $35.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.64 / $62.04 / $69.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.64 / $59.39 / $73.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $51.64 / $133.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.25 / $59.47 / $888.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $33.57 / $56.80