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Delaware 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
$64.27 / $64.27 / $64.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.15 / $46.39 / $46.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $64.43 / $80.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $34.27 / $83.84