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South Dakota 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
$549.54 / $549.54 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $870.96 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $812.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $1,000.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44