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Arizona rates for HCPCS 80415

Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled blood samples)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.93 / $111.78 / $223.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.45 / $64.64 / $359.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.26 / $122.98 / $204.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.09 / $67.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.56 / $90.83 / $163.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.29 / $68.15 / $85.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.70 / $41.20 / $265.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $32.79 / $45.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $32.79 / $55.89