go back

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
$50.03 / $91.72 / $160.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $35.35 / $87.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.94 / $69.06 / $100.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $46.61 / $108.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $76.41 / $95.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $72.17 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $38.11 / $83.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.62 / $114.62 / $114.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $33.35 / $56.33