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Wisconsin 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)

Facilitymedian $120 · 10th–90th $43$2880%10%20%10th90th$120Professionalmedian $54 · 10th–90th $28$2240%10%10th90th$54$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $125.89 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $151.36 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $223.87
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $181.97 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $81.28 / $173.78
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $123.03 / $446.68
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $263.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $114.82
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $158.49
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $91.20 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $141.25 / $309.03
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $39.81
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $120.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $223.87 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $125.89