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Wisconsin 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)

Facilitymedian $112 · 10th–90th $43$3240%10%10th90th$112Professionalmedian $50 · 10th–90th $26$1820%10%20%10th90th$50$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $114.82 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $47.86 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $138.04 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $208.93
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $165.96 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $162.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $112.20 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $46.77 / $758.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $41.69 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $104.71
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $144.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $85.11 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $131.83 / $218.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $758.58
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $39.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $109.65
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $169.82 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $114.82