go back

New Mexico 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
$111.31 / $222.61 / $445.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $178.09 / $954.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.47 / $96.47 / $96.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.25 / $170.57 / $251.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.63 / $81.63 / $81.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.38 / $178.09 / $290.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.41 / $148.41 / $251.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $133.57 / $133.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $88.28 / $91.02