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Nebraska rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $70.20 / $190.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $106.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.95 / $58.64 / $114.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $25.10 / $27.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $23.75 / $37.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $32.70 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $9.91 / $42.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $33.65 / $51.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $36.70 / $47.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $9.91 / $33.04