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Louisiana 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
$58.88 / $77.62 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $112.20 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $107.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $107.15 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $28.18 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $56.23 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $29.51 / $77.62