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Alabama rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $19.00 / $33.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $19.00 / $19.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.17 / $19.62 / $26.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $12.06 / $16.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $17.39 / $51.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.70 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.44 / $13.51