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Wisconsin rates for HCPCS 84704

Gonadotropin Chorionic Hcg Free Beta Chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.35 / $34.10 / $47.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $18.01 / $59.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $39.75 / $42.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $7.44 / $63.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $40.89 / $42.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.35 / $49.49 / $75.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $41.17 / $46.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $13.41 / $18.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $13.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $18.35 / $41.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $29.52 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $13.41 / $18.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $37.22 / $51.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $30.58 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $9.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $32.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $44.44 / $83.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $15.29 / $44.16