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Michigan rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $15.69 / $24.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $15.69 / $15.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.98 / $18.69 / $32.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $12.39 / $16.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $19.00 / $23.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $15.69 / $28.83
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $19.82 / $24.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $13.68 / $18.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $13.60 / $14.34