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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
$112.20 / $218.78 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $47.86 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $138.04 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $85.11 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $107.15 / $134.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $67.61 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.88 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $114.82 / $144.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $50.12 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $61.66