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Massachusetts rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $38.00 / $70.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $15.74 / $28.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.07 / $38.94 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $16.52 / $40.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.32 / $46.69 / $81.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.53 / $15.53 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $24.55 / $56.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $18.27 / $28.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $28.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $22.90 / $61.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.94 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $11.08 / $34.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $14.87 / $41.10