go back

Vermont rates for HCPCS 84703

Gonadotropin, chorionic (hCG); qualitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $9.77 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $125.89 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $8.71 / $11.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $6.61 / $20.42