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Tennessee 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
$41.69 / $52.48 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $43.65 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $125.89 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $81.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $46.77 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.02 / $61.66