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Arkansas rates for HCPCS 80426

Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $190.55 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $123.03 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $134.90 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $245.47