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New Hampshire rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $60.30 / $115.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $18.82 / $18.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.18 / $31.98 / $74.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.73 / $12.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.70 / $84.15 / $112.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $11.92 / $23.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.42 / $29.36 / $60.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.91 / $36.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $16.57 / $21.10