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Alaska rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.51 / $147.00 / $235.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $51.22 / $51.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.25 / $42.25 / $42.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $17.35 / $21.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $16.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $61.16
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $58.87 / $97.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $30.97 / $74.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.54 / $53.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $19.47 / $42.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $30.58 / $46.13