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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
$948.86 / $1,736.97 / $3,332.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.17 / $475.17 / $603.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.51 / $712.76 / $1,175.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.61 / $434.61 / $1,103.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.46 / $1,372.28 / $2,412.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.92 / $640.74 / $832.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.10 / $423.12 / $1,146.72