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Hawaii rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.61 / $14.30 / $18.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $18.35 / $18.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $29.32 / $35.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $18.35 / $22.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $18.35 / $22.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $32.00 / $38.90