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Illinois rates for HCPCS 84704

Gonadotropin Chorionic Hcg Free Beta Chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $30.58 / $81.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $13.00 / $19.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.32 / $49.39 / $160.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $11.18 / $11.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.73 / $37.03 / $69.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $16.55 / $22.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $26.76 / $115.62
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $19.88 / $19.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $7.65 / $11.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $12.80 / $20.65