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Washington 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
$70.79 / $112.20 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.86 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $114.82 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $58.88 / $85.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $45.71 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $91.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $91.20 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $61.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $77.62 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $57.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $93.33