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Tennessee rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $22.92 / $57.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $13.05 / $15.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $18.35 / $22.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $35.78 / $64.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $12.70 / $24.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.16 / $89.71 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $12.38 / $22.05