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Illinois rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $11.22 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $12.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.75 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $16.22 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.27 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $12.30 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $6.31 / $8.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.72 / $74.13
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
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.50 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.27 / $11.22