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Maryland rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $12.39 / $20.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.25 / $24.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $11.44 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $17.55 / $26.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $20.65 / $24.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $9.91 / $15.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.26 / $16.21