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Maine rates for HCPCS 80428

Growth Hormone Stimulation Panel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $166.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $54.03 / $87.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.55 / $89.04 / $696.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.68 / $26.68 / $77.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.60 / $100.71 / $142.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.43 / $90.77 / $98.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $80.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $166.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $66.70 / $77.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.02 / $54.52 / $131.75