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Rhode Island rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $49.50 / $94.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $13.55 / $17.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.46 / $20.32 / $33.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $12.39 / $31.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $39.43 / $69.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $18.27 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $12.06 / $32.68