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North Carolina 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
$42.00 / $53.36 / $170.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $69.37 / $72.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.66 / $278.17 / $278.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.02 / $46.69 / $74.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.53 / $70.09 / $175.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $50.93 / $103.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $72.17 / $130.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.86 / $95.52 / $122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.46 / $94.48 / $119.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $45.75 / $91.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $316.83 / $316.83