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Minnesota 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
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.86 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $194.98 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $100.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $177.83 / $371.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $100.00 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $51.29 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $51.29 / $114.82