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Minnesota 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
$61.66 / $61.66 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $61.66 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $251.19 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $97.72 / $128.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $229.09 / $478.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $141.25 / $371.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $66.07 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $66.07 / $147.91