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North Carolina rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $14.81 / $43.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.22 / $14.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.46 / $68.89 / $68.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.74 / $14.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $17.50 / $43.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $12.21 / $23.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $17.87 / $32.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $23.67 / $31.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $11.55 / $22.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $89.71 / $100.00