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Wisconsin rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Facilitymedian $34 · 10th–90th $13$830%10%20%10th90th$34Professionalmedian $14 · 10th–90th $7$590%10%10th90th$14$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $41.69 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $47.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $33.11 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $18.20 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $42.66
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.90 / $53.70
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $10.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $32.36
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $60.26 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.49 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.14 / $33.11