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Wyoming rates for HCPCS 84081

Phosphatidylglycerol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.70 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.48 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $22.91