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Arizona rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $33.04 / $65.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $13.28 / $106.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.24 / $36.35 / $60.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $13.92 / $19.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $26.85 / $48.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $20.23 / $25.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $17.87 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.69 / $15.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.69 / $10.13