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Idaho rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $30 · 10th–90th $17–$740%10%20%10th90th$30Professionalmedian $17 · 10th–90th $13–$320%10%20%10th90th$17$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $34.67 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.30 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $22.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.13 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $26.92