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Wisconsin 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
$178.09 / $222.62 / $330.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.70 / $140.99 / $583.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.08 / $385.87 / $408.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $90.53 / $614.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.00 / $403.00 / $418.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.21 / $477.02 / $731.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.57 / $399.64 / $454.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $135.38 / $178.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.70 / $135.38 / $704.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.11 / $148.41 / $411.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $290.95
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.57 / $135.38 / $178.09
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.39 / $363.53 / $942.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.82 / $296.82 / $704.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.66 / $84.10 / $141.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $152.69 / $316.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $591.65 / $810.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.09 / $178.09 / $178.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $121.30 / $367.49