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Montana rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $22.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $20.49 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $20.49 / $20.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $29.82 / $45.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $21.68 / $22.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $29.82 / $45.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $13.76 / $22.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $15.29