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Maine 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
$56.23 / $56.23 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $524.81 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $33.88 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $75.86 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $57.54 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $67.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $91.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $114.82