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Florida rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $10.70 / $23.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.75 / $5.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $3.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.81 / $5.91 / $14.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $6.20 / $8.06
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $31.30 / $50.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.82 / $7.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.90 / $3.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $2.76 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.30 / $19.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.30 / $3.30