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Oklahoma rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $22.71 / $39.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $12.22 / $12.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $11.55 / $26.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $16.70 / $23.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $17.87 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.44 / $21.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.09 / $16.52