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Missouri 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
$129.12 / $199.52 / $344.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.15 / $129.12 / $160.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.41 / $155.83 / $685.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $124.00 / $399.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.68 / $311.31 / $819.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.65 / $150.69 / $221.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $238.39 / $704.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $109.93 / $180.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $133.57 / $178.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $89.05 / $207.40