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Wyoming 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
$86.96 / $86.96 / $86.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.96 / $86.96 / $86.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.10 / $149.10 / $178.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.70 / $135.00 / $278.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.77 / $173.77 / $173.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.29 / $99.95 / $124.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $50.20 / $121.46