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Minnesota rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $15.53 / $15.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $15.36 / $15.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $34.29 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $16.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $59.72 / $143.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $24.13 / $31.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $54.60 / $113.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $30.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $33.04 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $12.20 / $35.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $16.52 / $35.18