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Delaware rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $17.57 / $17.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.69 / $12.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $17.35 / $27.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $12.71 / $22.94