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Nebraska 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
$39.52 / $237.47 / $611.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $359.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.53 / $133.78 / $260.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.46 / $84.95 / $91.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $80.54 / $127.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.53 / $111.28 / $265.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.45 / $33.53 / $141.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.64 / $113.85 / $175.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.12 / $124.00 / $160.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.45 / $33.53 / $111.78