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Vermont rates for HCPCS 84081

Phosphatidylglycerol

Facilitymedian $129 · 10th–90th $6–$2950%20%10th90th$129Professionalmedian $28 · 10th–90th $13–$320%50%10th90th$28$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $23.99 / $28.18
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $19.50 / $44.67