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Hawaii rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.50 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $6.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.30 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.61 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.72 / $33.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.00 / $13.80