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Indiana rates for HCPCS 84704

Gonadotropin Chorionic Hcg Free Beta Chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $17.57 / $56.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.54 / $14.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $14.20 / $45.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $7.44 / $13.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $18.35 / $20.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $17.57 / $21.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $15.29 / $38.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $13.82 / $21.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $10.19 / $18.85