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Kentucky rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $7.10 / $63.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.51 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $4.95 / $5.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.72 / $5.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.70 / $9.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.15 / $11.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $4.28 / $9.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $6.20 / $36.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $4.63 / $9.07