go back

Ohio 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
$53.36 / $157.66 / $205.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $53.36 / $79.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.90 / $73.37 / $118.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.94 / $32.94 / $73.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.49 / $66.70 / $90.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.70 / $86.71 / $90.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $68.68 / $223.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.85 / $53.53 / $97.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $69.81 / $257.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.85 / $44.94 / $88.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.03 / $80.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $40.02 / $93.16