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Utah rates for HCPCS 80430

Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $537.03 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $114.82 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $125.89 / $186.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $323.59 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $407.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $53.70 / $109.65