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Nebraska rates for HCPCS 84403

Assay Of Testosterone Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $109.70 / $235.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $22.09 / $67.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $12.91 / $17.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $39.22 / $42.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.00 / $138.00 / $138.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $31.62 / $58.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.46 / $86.83 / $182.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $51.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $52.58 / $80.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $57.00 / $74.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $15.49 / $51.62