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Missouri rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $23 · 10th–90th $16$400%10%20%10th90th$23Professionalmedian $14 · 10th–90th $9$340%10%10th90th$14$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 / $27.54 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $27.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.13 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $42.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $37.15 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $16.60 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $21.38