go back

Maine 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
$66.07 / $66.07 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $63.10 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $616.60 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $75.86 / $100.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $81.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $66.07 / $134.90