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Indiana 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
$121.70 / $170.67 / $547.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $121.70 / $140.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.24 / $135.52 / $445.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.22 / $76.87 / $123.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.41 / $178.09 / $200.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.41 / $170.67 / $210.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.87 / $148.41 / $384.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.95 / $170.57 / $309.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $89.05 / $148.41