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Minnesota rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $20.89 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.94 / $10.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.05 / $39.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $10.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $11.22 / $17.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.90 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $6.61 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $6.31 / $33.11