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Indiana rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $5.50 / $20.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.51 / $5.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.01 / $16.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.72 / $4.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.60 / $7.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.33 / $7.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $5.50 / $14.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $6.20 / $12.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $4.23 / $15.01