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Vermont 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
Professional
Modifier
Low / Median / High Price
$253.80 / $253.80 / $253.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.80 / $2,474.88 / $2,586.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.41 / $248.41 / $248.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.31 / $170.57 / $213.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.41 / $248.41 / $248.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.31 / $170.57 / $213.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.83 / $121.94 / $284.54