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Montana 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
Professional
Modifier
Low / Median / High Price
$112.20 / $138.04 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $251.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $169.82 / $213.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $208.93 / $457.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $251.19 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $204.17