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Maryland rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $4 · 10th–90th $2$1350%10%20%10th90th$4Professionalmedian $4 · 10th–90th $4$150%20%40%90th$4$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $134.90 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $14.79
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.37 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.80 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $5.25 / $13.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.31 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.63 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.31 / $8.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.80 / $8.32