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Texas rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $30.82 / $85.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $12.39 / $19.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $40.79 / $81.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $19.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $36.29 / $83.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $12.09 / $27.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.00 / $89.71 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $16.52 / $21.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $16.52 / $20.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $16.52 / $41.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $12.70 / $23.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.47 / $14.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.16 / $16.52