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Maryland rates for HCPCS 80418

Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormone (FSH) (83001 x 4) Prolactin (84146 x 4) Human growth hormone (HGH) (83003 x 4) Cortisol (82533 x 4) Thyroid stimulating hormone (TSH) (84443 x 4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $691.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $467.74 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $398.11 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $245.47 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $524.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $562.34 / $870.96