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Utah 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
$724.44 / $3,890.45 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $512.86 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $660.69 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,089.30 / $3,090.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,819.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $794.33