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Washington rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $35.35 / $91.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $15.53 / $35.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $38.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $14.87 / $28.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $29.95 / $48.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $21.88 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $15.94 / $17.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $17.35 / $43.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $24.78 / $45.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $27.26 / $45.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $16.52 / $44.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.43 / $18.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $7.43 / $8.56