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Nebraska 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
$36.51 / $219.43 / $595.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $55.00 / $156.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.53 / $133.78 / $260.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $78.48 / $84.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $74.34 / $117.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $102.84 / $757.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $30.98 / $131.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.64 / $105.20 / $161.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.02 / $114.00 / $148.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $30.98 / $103.28