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Michigan rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $16 · 10th–90th $15–$290%50%10th90th$16Professionalmedian $15 · 10th–90th $12–$220%20%10th90th$15$5.0$10.0$20.0$50.0$100.0

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
$15.85 / $15.85 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.30 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $23.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $28.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $30.20
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.49 / $19.50