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Montana rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Facilitymedian $25 · 10th–90th $19$1150%10%20%10th90th$25Professionalmedian $17 · 10th–90th $11$560%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $22.39
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $46.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $46.77
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $87.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.30 / $20.89