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Utah 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
$83.18 / $457.09 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $53.70 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $75.86 / $125.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $245.47 / $354.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $208.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $66.07 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $91.20