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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
$141.25 / $141.25 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $165.96 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $169.82 / $213.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $263.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $112.20 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $128.82