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Massachusetts rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $13 · 10th–90th $5$420%10%20%10th90th$13Professionalmedian $5 · 10th–90th $4$160%20%40%10th90th$5$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5.25 / $12.59 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $20.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.50 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $8.71 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.17 / $9.55
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $28.18 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $16.60
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.59 / $63.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.50 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.50 / $8.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.25 / $20.42