go back

California rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $49.30 / $153.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $18.01 / $36.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $36.88 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $11.86 / $35.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.60 / $85.17 / $193.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.33 / $73.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $20.07 / $51.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $14.11 / $25.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.29 / $24.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $15.29 / $33.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.63 / $80.00 / $80.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $9.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $16.82 / $38.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $15.29 / $25.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.66 / $53.66 / $53.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $13.76 / $18.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $12.62 / $31.01