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Connecticut rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $19.57 / $49.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $15.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $24.24 / $46.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $9.91 / $26.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $21.38 / $59.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.65 / $19.00 / $23.75
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $13.22 / $20.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $16.52 / $28.99