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Maine 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 / $147.91 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $1,380.38 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $89.13 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $204.17 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $177.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $239.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $147.91 / $302.00