go back

Vermont rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.83 / $28.83 / $28.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.11 / $280.33 / $294.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.66 / $27.66 / $27.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $19.00 / $26.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.66 / $27.66 / $27.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $19.00 / $26.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $14.47 / $44.77