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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
$134.90 / $275.42 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $57.54 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $138.04 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $102.33 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $128.82 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $83.18 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $138.04 / $169.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $60.26 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $74.13