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Delaware rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.71 / $13.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $19.00 / $30.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $10.13 / $24.78