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New Hampshire 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
$380.19 / $537.03 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $288.40 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $562.34 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $213.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $257.04 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $436.52