go back

Virginia 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
$140.16 / $281.68 / $559.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.31 / $123.18 / $140.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.41 / $148.41 / $722.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $73.29 / $89.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.69 / $671.98 / $1,005.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.70 / $390.27 / $751.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.48 / $98.94 / $170.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.09 / $185.51 / $219.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.73 / $160.59 / $160.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $241.30 / $364.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.43 / $197.74 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.43 / $197.74 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.09 / $178.09 / $178.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.33 / $89.05 / $124.44