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Louisiana rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $9.15 / $31.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.22 / $7.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.81 / $11.87 / $41.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $20.82 / $20.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $12.17 / $33.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.65 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.90 / $33.00