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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
$15.14 / $15.14 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $141.25 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.12 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.99 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $17.38 / $23.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.22 / $30.90