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Nebraska 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
$47.15 / $283.44 / $769.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $44.02 / $428.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.53 / $133.78 / $260.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $101.38 / $109.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.41 / $98.47 / $150.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.02 / $132.91 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $40.02 / $168.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.07 / $135.90 / $209.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.11 / $147.00 / $192.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $88.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $40.02 / $133.40