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Missouri 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
$64.70 / $94.05 / $315.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $58.03 / $79.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $70.04 / $307.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.94 / $55.36 / $179.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.95 / $139.91 / $453.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $67.79 / $99.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.03 / $107.10 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $49.41 / $81.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.35 / $93.16 / $100.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $40.02 / $93.16