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North Dakota 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
$38.90 / $52.48 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $52.48 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $81.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $66.07 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.90 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $57.54 / $95.50