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Illinois rates for HCPCS 84403

Testosterone; total

Facilitymedian $91 · 10th–90th $32–$3310%5%10th90th$91Professionalmedian $22 · 10th–90th $17–$540%20%10th90th$22$5.0$10.0$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
$32.36 / $91.20 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $81.28 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $17.78 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $58.88 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $29.51 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $223.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $26.30