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Washington, DC rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $60.26 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $74.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $83.18 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $28.18 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $19.05 / $23.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $10.47 / $28.18