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Texas rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $29 · 10th–90th $12$850%10%10th90th$29Professionalmedian $13 · 10th–90th $9$220%10%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
$12.02 / $30.90 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $77.62
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $36.31 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $28.18
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.60 / $29.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.80 / $13.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $50.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $16.60 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $21.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $16.60