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Illinois rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $11 · 10th–90th $6$910%5%10%10th90th$11Professionalmedian $5 · 10th–90th $3$110%20%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$5.62 / $11.22 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $16.98 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.27 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $12.88 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.31 / $10.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.72 / $74.13
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.27 / $10.00