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Pennsylvania rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $44 · 10th–90th $15$720%20%10th90th$44Professionalmedian $14 · 10th–90th $11$300%20%40%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.49 / $44.67 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $30.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $114.82 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $25.12 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $21.38 / $39.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $23.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $18.62 / $28.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $43.65 / $56.23
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $19.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.78 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $16.60 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $28.84