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Michigan 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
$63.10 / $63.10 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $61.66 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $74.13 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $95.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $117.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $120.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $54.95 / $57.54