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Idaho rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.82 / $29.82 / $42.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $32.21 / $32.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $17.51 / $64.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $19.00 / $23.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $28.86 / $33.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $19.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $37.17 / $60.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $28.52 / $29.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.83 / $33.81