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Idaho rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.59 / $27.59 / $39.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $19.80 / $29.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $16.20 / $59.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $17.35 / $21.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.80 / $29.82 / $31.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $18.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.94 / $34.40 / $56.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $26.19 / $26.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $12.80 / $30.81