go back

Arkansas rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.69 / $25.69 / $38.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $25.69 / $25.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $18.82 / $18.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.72 / $27.53 / $27.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $20.39 / $42.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $19.00 / $23.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $13.63 / $22.05