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South 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
$104.71 / $363.08 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $120.23 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $575.44 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $380.19 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $213.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $169.82 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $147.91 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $93.33 / $208.93