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Maine rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $51.29 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $3.31 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $7.76 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $6.17 / $7.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.50 / $6.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $24.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.50 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.50 / $22.39