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Alaska rates for HCPCS 80428

Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.72 / $460.31 / $782.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.78 / $223.45 / $223.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.28 / $184.28 / $184.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.73 / $76.41 / $95.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.17 / $72.17 / $72.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $266.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.45 / $256.80 / $430.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.03 / $150.08 / $150.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.17 / $72.17 / $233.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $96.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.92 / $133.40 / $201.25