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New Jersey rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.78 / $31.95 / $94.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $12.89 / $19.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $36.09 / $75.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $13.57 / $23.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.09 / $13.22
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.56 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $11.56 / $15.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.09 / $9.09 / $9.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.91 / $24.47