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Virginia rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $22 · 10th–90th $15$890%20%10th90th$22Professionalmedian $12 · 10th–90th $8$240%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K

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 / $36.31 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $43.65 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.30 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.95 / $24.55
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $17.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $32.36 / $34.67
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $28.18 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $28.84 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $16.60 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $18.20