go back

Montana rates for HCPCS 84702

Gonadotropin, chorionic (hCG); quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $128.82 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.20 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $17.38 / $21.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.38 / $46.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $21.38 / $46.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.70 / $85.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $20.89