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North Carolina 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
$39.20 / $118.73 / $387.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.65 / $117.24 / $128.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.41 / $509.72 / $575.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $66.78 / $103.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.29 / $155.99 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $93.97 / $213.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.66 / $160.59 / $290.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.16 / $212.60 / $270.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $101.24 / $202.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.00 / $704.95 / $704.95