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Vermont 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
Professional
Modifier
Low / Median / High Price
$53.70 / $64.57 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $912.01 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $107.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $46.77 / $181.97