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Illinois rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $11.28 / $211.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.73 / $6.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $19.21 / $77.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.24 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $13.64 / $25.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $6.61 / $8.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $10.25 / $73.84
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.03 / $5.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $5.50 / $6.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.26 / $33.00