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Georgia rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.99 / $29.85 / $52.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $13.22 / $29.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.93 / $21.10 / $54.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.12 / $8.16 / $33.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.27 / $16.52 / $26.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $36.34 / $51.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $20.23 / $25.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $21.48 / $59.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $13.52 / $34.97