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Missouri rates for HCPCS 84030

Phenylalanine (PKU), blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $9.58 / $46.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.79 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.78 / $25.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.71 / $14.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.34 / $11.55 / $30.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $5.62 / $8.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $8.84 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.61 / $13.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $5.50 / $5.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.61 / $33.00