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Hawaii rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.54 / $5.14 / $6.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $6.60 / $6.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $11.81 / $13.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.60 / $8.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $8.25 / $33.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.16 / $10.00 / $13.84