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Nebraska 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
$295.12 / $616.60 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $446.68 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $223.87 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $186.21 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $162.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $380.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $134.90 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $89.13 / $162.18