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Hawaii rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $15.45 / $19.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $19.82 / $19.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $35.43 / $41.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $19.82 / $24.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $24.78
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $30.02 / $41.56