go back

Utah rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $50.12 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.61 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.61 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $10.47 / $14.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $27.54 / $39.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.46 / $6.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.59 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.80 / $4.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.47 / $5.62