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Alaska rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $144.54 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.71 / $10.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $7.59 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $30.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $28.84 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.98 / $37.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.59 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $15.14 / $22.91