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Idaho 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
$100.00 / $100.00 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $53.70 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $147.91 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $56.23 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $117.49 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $81.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $67.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $114.82 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.11 / $114.82