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Indiana rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $68.88 / $148.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.55 / $7.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $7.52 / $7.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $6.85 / $22.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.60 / $5.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $8.27 / $10.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.90 / $10.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.52 / $19.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $8.67 / $15.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.95 / $13.95 / $13.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.51 / $8.26