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New Mexico rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $22.94 / $45.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $19.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $12.51 / $14.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $17.35 / $28.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $8.41 / $8.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $14.53 / $21.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $16.00 / $22.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $12.71 / $13.76