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Wyoming rates for HCPCS 84704

Gonadotropin, chorionic (hCG); free beta chain

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $30.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.11 / $24.00 / $49.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.71 / $30.71 / $30.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $17.35 / $21.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $11.31 / $21.03