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Maine 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
Facility
Modifier
Low / Median / High Price
$579.48 / $579.48 / $1,448.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.38 / $469.38 / $579.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.76 / $773.61 / $6,054.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.79 / $231.79 / $670.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $915.65 / $1,236.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.28 / $758.67 / $832.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.48 / $579.48 / $701.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.48 / $579.48 / $1,448.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.38 / $469.38 / $579.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.69 / $473.72 / $1,144.82