go back

Illinois 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
$147.91 / $288.40 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $398.11 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $102.33 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $331.13 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $173.78 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $281.84 / $630.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $147.91 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $107.15 / $147.91