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Washington rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $32.21 / $84.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $18.01 / $22.93
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $30.58 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $15.29 / $25.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $27.30 / $44.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $20.10 / $30.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.88 / $14.75 / $16.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $15.29 / $33.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $22.94 / $42.05
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $17.43 / $21.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $25.10 / $42.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $15.29 / $41.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $10.70 / $18.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $7.92