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New Hampshire rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $54.95 / $107.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $17.16 / $17.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.15 / $29.60 / $69.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $9.93 / $11.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $76.76 / $88.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $10.83 / $21.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $27.17 / $54.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $15.29 / $33.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $17.04 / $24.24