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West Virginia rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $20.65 / $24.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $13.38 / $13.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $22.30 / $24.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $22.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $29.97 / $49.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $23.75 / $104.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $10.13 / $32.56