go back

Nebraska rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $67.61 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $58.88 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $25.12 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $31.62 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $20.89 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.00 / $21.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $33.88 / $42.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $14.79 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.00 / $21.88