go back

California rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $21 · 10th–90th $6$660%10%10th90th$21Professionalmedian $5 · 10th–90th $3$250%20%10th90th$5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $30.90 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $35.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $12.88 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $4.79 / $18.62
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $44.67 / $89.13
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $9.77 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.61 / $13.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $5.50 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $14.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $6.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $6.61 / $15.85
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $6.46 / $13.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.80 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $22.91