go back

Ohio rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $31.90 / $47.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $12.23 / $41.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $16.82 / $27.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $7.44 / $16.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $15.29 / $20.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $19.88 / $20.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $15.74 / $57.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $12.08 / $21.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $15.74 / $59.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.94 / $20.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $12.61 / $18.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $15.29 / $21.03