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Montana 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
$666.40 / $3,726.06 / $3,726.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.25 / $1,129.99 / $1,712.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.55 / $832.20 / $840.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.25 / $985.12 / $1,712.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.53 / $521.53 / $840.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.38 / $243.38 / $796.72