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Virginia rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $31.36 / $62.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $13.71 / $15.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $80.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $8.16 / $9.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.95 / $74.81 / $111.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $43.74 / $83.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.14 / $19.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $20.65 / $24.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $17.87 / $17.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $27.00 / $40.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.85 / $23.25 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $23.09 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $9.91 / $16.52