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Maine rates for HCPCS 84030

Assay Of Phenylalanine Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $5.50 / $24.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $7.34 / $57.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $6.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $7.69 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $7.48 / $8.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $24.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.50 / $6.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.49 / $10.86