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Connecticut rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.55 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.71 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.39 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $8.13 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.76 / $7.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $5.50 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $5.25 / $11.48