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California rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $62 · 10th–90th $19$1780%5%10th90th$62Professionalmedian $16 · 10th–90th $10$650%10%10th90th$16$10.0$50.0$200.0$1.0K$5.0K

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
$32.36 / $91.20 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $109.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $38.90 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.45 / $46.77
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $100.00 / $263.03
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $28.84 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.05 / $41.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $16.60 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $37.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $53.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.14 / $41.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $11.22 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $33.88