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New York rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $28.08 / $47.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $14.04 / $16.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $42.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $9.91 / $37.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $16.52 / $16.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $16.52 / $16.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $33.22 / $170.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $18.63 / $104.67
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $24.39 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $9.83 / $30.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $8.05 / $8.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $15.69 / $21.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $40.02 / $223.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $22.71 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.91 / $27.09
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $60.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.87 / $23.28