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Hawaii 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
$46.11 / $52.26 / $67.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.64 / $76.75 / $350.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $67.06 / $67.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.89 / $119.89 / $140.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $67.06 / $83.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $67.06 / $108.49
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $101.50 / $140.54