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Missouri rates for HCPCS 84030

Phenylalanine (PKU), blood

Facilitymedian $9 · 10th–90th $5$1000%10%20%10th90th$9Professionalmedian $5 · 10th–90th $3$140%20%10th90th$5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $9.55 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $5.01 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $11.22 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.62 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $9.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.47 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $5.50 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.57 / $33.11