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Louisiana rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $22.76 / $86.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $18.34 / $21.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.46 / $32.99 / $61.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $18.17 / $28.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $35.59 / $101.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $11.06 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.69 / $29.55