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Massachusetts rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $38 · 10th–90th $15$710%10%20%10th90th$38Professionalmedian $17 · 10th–90th $12$350%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.14 / $37.15 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $33.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.05 / $43.65
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $162.18 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $44.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $44.67