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Phenothiazine Level Test

North Carolina 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?

$15.85

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $15.85 for this service. Most negotiated rates run $13.80 to $81.28.

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 $14 · 10th to 90th $11 to $100Professionalmedian $29 · 10th to 90th $13 to $38
$10$20$50$100facility $14professional $29

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
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$28.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$32.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$100.00

Where North Carolina sits

The same service costs 7.2 times more in Massachusetts than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 45th of 50

$15.85

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.