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Oregon rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $41.17 / $101.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $16.02 / $89.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $43.50 / $59.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $19.00 / $29.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $40.24 / $43.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.02 / $20.78 / $54.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $19.82 / $33.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $22.30 / $43.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $20.78 / $47.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $20.65 / $27.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.21 / $50.98 / $68.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $21.06 / $41.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.44 / $19.82