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North Carolina 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
$18.20 / $41.31 / $134.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $41.31 / $61.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.83 / $136.83 / $170.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.12 / $215.35 / $215.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $23.24 / $36.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $54.06 / $135.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.63 / $29.97 / $74.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.37 / $55.88 / $101.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.34 / $73.95 / $103.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $35.22 / $70.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $757.56 / $757.56