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Utah rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $50.45 / $77.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.55 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $6.61 / $20.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $8.67 / $10.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $8.65 / $33.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $6.24 / $8.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $4.51