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Phenothiazine Level Test

Minnesota 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?

$29.51

Typical facility fee. In Minnesota, July 2026.

Insurers have agreed to pay about $29.51 for this service. Most negotiated rates run $24.55 to $54.95.

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 $68 · 10th to 90th $44 to $155Professionalmedian $25 · 10th to 90th $25 to $41
$10.0$20.0$50.0$100.0$200.0facility $68professional $25

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$30.90
Typical High
$40.74
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$154.88
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$31.62
Typical High
$100.00

Where Minnesota 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.

Minnesota $29.51 · 12th 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.