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Michigan 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
$140.99 / $140.99 / $219.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.70 / $140.99 / $140.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.03 / $166.36 / $294.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.69 / $111.31 / $150.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.66 / $170.57 / $226.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.94 / $140.99 / $259.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $178.09 / $219.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.33 / $133.57 / $178.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $91.02 / $128.77