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Phenothiazine Level Test

California rates for HCPCS 84022

Measures how much phenothiazine medicine is present in a sample. Phenothiazines are an older family of drugs used for psychosis, severe nausea and agitation, and the result helps a prescriber judge whether the amount in the body is about right or too high.

Rates data updated July 2026.

How much does Phenothiazine Level Test cost?

$30.20

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $30.20 for this service. Most negotiated rates run $13.80 to $89.13.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24 · 10th to 90th $14 to $100Professionalmedian $30 · 10th to 90th $25 to $398
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $24professional $30

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$41.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88

Where California sits

The same service costs 7.2 times more in Massachusetts than in Kansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $30.20 · 10th of 50
MA $100KS $13.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.