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Kentucky rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $13.05 / $73.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.55 / $16.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $14.87 / $17.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $10.29 / $18.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $23.13 / $27.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $21.48 / $33.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $12.85 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $19.00 / $104.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $13.85 / $23.09