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Idaho rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $10 · 10th–90th $5–$260%10%20%10th90th$10Professionalmedian $5 · 10th–90th $4–$100%20%40%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
$10.00 / $12.88 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.49 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.50 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $11.48 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $7.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $7.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $19.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.68 / $5.75
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.31 / $33.11