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Oklahoma rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $18 · 10th–90th $12–$500%10%10th90th$18Professionalmedian $12 · 10th–90th $8–$190%10%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $26.92 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.00 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.55 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $14.79 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.33 / $14.13