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West Virginia rates for HCPCS 80402

ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.31 / $108.70 / $130.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.22 / $70.44 / $71.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.66 / $117.40 / $130.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $117.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.65 / $104.35 / $260.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $124.93 / $558.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $52.18 / $139.13