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Phenothiazine Level Test

Illinois 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?

$42.66

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $42.66 for this service. Most negotiated rates run $30.90 to $83.18.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42 · 10th to 90th $28 to $85Professionalmedian $126 · 10th to 90th $25 to $347
$20.0$50.0$100.0$200.0facility $42professional $126

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where Illinois 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.

Illinois $42.66 · 3rd 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.