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Montana 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
Professional
Modifier
Low / Median / High Price
$27.37 / $61.75 / $77.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.20 / $69.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.88 / $100.70 / $152.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.90 / $74.34 / $74.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.88 / $87.79 / $152.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.48 / $51.63 / $74.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $21.69 / $70.98