go back

New Hampshire 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
$169.82 / $245.47 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $128.82 / $380.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $43.65 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $251.19 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $51.29 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $117.49 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $194.98