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Alaska rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.19 / $107.03 / $232.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $9.86 / $26.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $20.78 / $20.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $8.67 / $10.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $6.54 / $36.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $7.52 / $30.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $16.92 / $92.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $9.72 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $15.04 / $22.69