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Phenothiazine Level Test

South 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?

$24.55

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $24.55 for this service. Most negotiated rates run $14.79 to $30.20.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $16 · 10th to 90th $11 to $36Professionalmedian $30 · 10th to 90th $25 to $30
$10.0$20.0$50.0facility $16professional $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
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$36.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Carolina 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.

South Carolina $24.55 · 35th 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.