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Indiana rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $5 · 10th–90th $5$180%20%40%90th$5Professionalmedian $4 · 10th–90th $3$80%20%40%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$5.50 / $8.51 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.69 / $5.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $5.62 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $4.47 / $33.11