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Nebraska rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $80.25 / $173.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.09 / $98.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $58.64 / $114.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $23.23 / $25.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $21.68 / $34.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $19.17 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $15.29 / $38.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $30.67 / $47.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.36 / $33.46 / $43.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $15.29 / $30.58