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New Mexico 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
$50.03 / $100.05 / $200.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $80.04 / $428.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $43.36 / $43.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.41 / $76.41 / $139.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.26 / $80.04 / $130.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $139.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $66.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $39.68 / $40.89