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Missouri rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $22.20 / $38.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $14.37 / $17.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $17.35 / $76.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $13.63 / $44.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.69 / $34.65 / $91.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $16.86 / $24.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $26.53 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $12.23 / $20.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $13.85 / $21.41