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Phenothiazine Level Test

Nebraska 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 rates vary

Facilitymedian $31 · 10th to 90th $31 to $100Professionalmedian $41 · 10th to 90th $25 to $51
$50.0$100.0facility $31professional $41

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
$40.74
Typical High
$51.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90