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New Hampshire 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
$141.25 / $204.17 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $44.67 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $107.15 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $208.93 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $97.72 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $33.88 / $165.96