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South Carolina rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.56 / $12.89 / $78.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $12.89 / $14.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $79.16 / $167.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $22.59 / $42.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $47.90 / $98.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $10.38 / $23.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.89 / $19.07 / $32.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $23.67 / $31.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $13.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $11.36 / $29.74