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Nebraska rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $123.84 / $189.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.55 / $9.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $3.76 / $5.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $24.94 / $48.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $11.43 / $12.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $10.84 / $17.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $100.00 / $164.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.51 / $19.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $15.33 / $23.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $16.72 / $21.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $4.51 / $15.04