go back

New Mexico 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
$38.72 / $77.45 / $154.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $61.97 / $332.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.68 / $42.24 / $48.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.57 / $33.57 / $33.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.56 / $59.47 / $80.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.40 / $28.40 / $28.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.26 / $61.97 / $101.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.64 / $51.64 / $80.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $30.98 / $31.67