go back

Michigan rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $14.53 / $79.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $14.53 / $19.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $55.80 / $98.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $37.00 / $49.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $16.73 / $21.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $14.53 / $26.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $14.53 / $21.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $12.66 / $17.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.91 / $15.29