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Arkansas rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $9.57 / $90.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $8.56 / $8.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $6.27 / $6.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.24 / $9.17 / $9.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $6.79 / $13.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $6.20 / $7.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $6.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.59 / $33.00