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South Carolina rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $41 · 10th–90th $12–$1020%10%10th90th$41Professionalmedian $13 · 10th–90th $12–$250%20%10th90th$13$10.0$20.0$50.0$100.0$200.0

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
$11.48 / $40.74 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $81.28 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $53.70 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.72 / $23.99
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.60 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $11.48 / $22.91