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Massachusetts rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $37.15 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $74.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $23.44 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $40.74 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $28.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $50.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $23.44 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $16.60 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.79 / $39.81