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Montana rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $75.45 / $166.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.76 / $11.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.08 / $10.08 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $22.22 / $42.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $8.67 / $10.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $14.66 / $22.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $9.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $10.33