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Maine rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $5 · 10th–90th $5$510%20%40%90th$5Professionalmedian $5 · 10th–90th $4$70%20%10th90th$5$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 / $5.50 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $6.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $51.29 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.16 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $7.76 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.62 / $7.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $6.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $5.50 / $30.90