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Iowa rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $8 · 10th–90th $4$150%10%10th90th$8Professionalmedian $5 · 10th–90th $3$150%20%10th90th$5$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $8.51 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.68 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $12.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $13.49 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $7.08 / $17.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.61 / $15.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $7.08
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.57 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $5.50