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Utah rates for HCPCS 84704

Gonadotropin Chorionic Hcg Free Beta Chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.83 / $35.79 / $46.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $12.08 / $17.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.07 / $13.44 / $42.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $17.35 / $21.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $17.57 / $67.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $12.48 / $17.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.17 / $15.29