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Oklahoma 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
$50.12 / $74.13 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $75.86 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $56.23 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $75.86 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $72.44 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.02 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $66.07 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $57.54