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Maine rates for HCPCS 84704

Gonadotropin Chorionic Hcg Free Beta Chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $15.29 / $38.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $18.01 / $22.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.80 / $20.41 / $152.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $6.12 / $17.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $23.83 / $32.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $20.49 / $21.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $18.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $15.29 / $38.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $15.29 / $19.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $20.51 / $30.77