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Maine rates for HCPCS 84702

Gonadotropin Chorionic Quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $142.13 / $264.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $17.62 / $22.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $20.09 / $152.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.02 / $17.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $20.89 / $32.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $18.55 / $21.68
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.15 / $167.15 / $167.15
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.35 / $117.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.05 / $18.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $130.83 / $242.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $17.55 / $29.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $20.51 / $28.71