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Rhode Island 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
$954.99 / $1,737.80 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $707.95 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $489.78 / $1,148.15