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California rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $74.58 / $170.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $19.30 / $106.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.10 / $39.85 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $13.02 / $38.33
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $86.00 / $212.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $14.63 / $57.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $21.69 / $55.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $20.09 / $29.51
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $16.52 / $26.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $36.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.00 / $89.71 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $8.26 / $8.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $19.76 / $53.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $16.52 / $33.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.98 / $57.98 / $57.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $23.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.83 / $34.04