go back

Michigan 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
$49.06 / $49.06 / $76.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $49.06 / $61.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.57 / $58.41 / $102.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $38.72 / $52.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.06 / $59.47 / $78.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $49.06 / $90.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $61.96 / $76.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $42.27 / $60.48