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Texas 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
$50.42 / $124.46 / $345.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.35 / $49.36 / $80.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $35.35 / $53.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $76.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.61 / $145.78 / $353.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $48.92 / $112.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $316.83 / $316.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.69 / $66.70 / $86.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $66.70 / $82.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $66.70 / $166.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $51.36 / $96.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $66.70 / $109.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.01 / $38.22 / $54.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $32.94 / $66.70