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Washington, DC rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $59.05 / $115.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $72.27 / $165.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $27.92 / $59.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $19.00 / $23.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.58 / $33.58 / $33.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $13.38 / $15.03