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Kansas rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.18 / $38.33 / $52.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $14.37 / $17.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.25 / $23.89 / $35.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $22.74 / $63.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $21.25 / $91.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $23.75 / $43.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $17.87 / $38.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $13.49 / $33.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $13.49 / $34.36