go back

Nebraska rates for HCPCS 83001

Gonadotropin; follicle stimulating hormone (FSH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $130.22 / $501.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $16.59 / $39.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $9.28 / $12.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $28.23 / $30.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.00 / $151.00 / $151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $26.33 / $41.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.63 / $51.92 / $155.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $11.15 / $37.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $37.86 / $58.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $41.00 / $53.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.15 / $20.44