go back

Georgia rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $10.23 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.47 / $10.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $7.08 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.68 / $11.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $10.72 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $6.17 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.32 / $19.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.90 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.47 / $16.98